36D0897576 CLIA NUMBER - LEWISBURG FAMILY PRACTICE INC

Laboratory Demographics

  • CLIA Code: 36D0897576
  • Facility Name: LEWISBURG FAMILY PRACTICE INC
  • Facility Address: 500 NORTH MAIN STREET
    LEWISBURG, OH
    ZIP 45338
  • Facility Phone: (937) 962-2618
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA TIPTON
  • NPI Number: 1730454281
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0897576
LAB Type Physician Office
Facility Name LEWISBURG FAMILY PRACTICE INC
Street 500 NORTH MAIN STREET
City LEWISBURG
State OH
ZIP 45338
Phone 9379622618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director JESSICA TIPTON

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This page was last updated on: 5/18/2026