36D0699391 CLIA NUMBER - PAUL J OPSAHL MD

Laboratory Demographics

  • CLIA Code: 36D0699391
  • Facility Name: PAUL J OPSAHL MD
  • Facility Address: 4353 ST RTE 73
    WAYNESVILLE, OH
    ZIP 45068
  • Facility Phone: 513 897-0085
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL J. OPSAHL
  • NPI Number: 1619953742
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0699391
LAB Type Physician Office
Facility Name PAUL J OPSAHL MD
Street 4353 ST RTE 73
City WAYNESVILLE
State OH
ZIP 45068
Phone 513 897-0085
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 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director PAUL J. OPSAHL

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