36D0344722 CLIA NUMBER - SURECARE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D0344722
  • Facility Name: SURECARE MEDICAL CENTER
  • Facility Address: 360 W CENTRAL AVE
    SPRINGBORO, OH
    ZIP 45066
  • Facility Phone: 937 208-7100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH M. GARLAND
  • NPI Number: 1639122641
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0344722
LAB Type Physician Office
Facility Name SURECARE MEDICAL CENTER
Street 360 W CENTRAL AVE
City SPRINGBORO
State OH
ZIP 45066
Phone 937 208-7100
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JOSEPH M. GARLAND

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