36D0332988 CLIA NUMBER - SOUTHEASTERN OHIO PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 36D0332988
  • Facility Name: SOUTHEASTERN OHIO PHYSICIANS INC
  • Facility Address: 100 CLARK COURT
    CAMBRIDGE, OH
    ZIP 43725
  • Facility Phone: 740 432-5685
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARK J. LESLIE
  • NPI Number: 1477635480
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D0332988
LAB Type Physician Office
Facility Name SOUTHEASTERN OHIO PHYSICIANS INC
Street 100 CLARK COURT
City CAMBRIDGE
State OH
ZIP 43725
Phone 740 432-5685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director CLARK J. LESLIE

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