36D2213816 CLIA NUMBER - SURGERY CENTER OF SOUTHWEST OHIO, LLC, THE

Laboratory Demographics

  • CLIA Code: 36D2213816
  • Facility Name: SURGERY CENTER OF SOUTHWEST OHIO, LLC, THE
  • Facility Address: 2210 ARBOR BLVD, STE 1A
    MORAINE, OH
    ZIP 45439
  • Facility Phone: 937 952-0201
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. BENJAMIN L. MCCALIP
  • NPI Number: 1568094399
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2213816
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER OF SOUTHWEST OHIO, LLC, THE
Street 2210 ARBOR BLVD, STE 1A
City MORAINE
State OH
ZIP 45439
Phone 937 952-0201
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. BENJAMIN L. MCCALIP

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This page was last updated on: 6/4/2025