14D0860855 CLIA NUMBER - ERIC LOPATIN MD

Laboratory Demographics

  • CLIA Code: 14D0860855
  • Facility Name: ERIC LOPATIN MD
  • Facility Address: 301 EDWARDSVILLE ROAD
    TROY, IL
    ZIP 62294
  • Facility Phone: 618 667-7057
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ERIC D. LOPATIN
  • NPI Number: 1356381271
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0860855
LAB Type Physician Office
Facility Name ERIC LOPATIN MD
Street 301 EDWARDSVILLE ROAD
City TROY
State IL
ZIP 62294
Phone 618 667-7057
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ERIC D. LOPATIN

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This page was last updated on: 9/29/2025