36D0929867 CLIA NUMBER - REGIONAL OCCUPATIONAL HEALTH CLINICS LLC

Laboratory Demographics

CLIA Number: 36D0929867

Facility Name: REGIONAL OCCUPATIONAL HEALTH CLINICS LLC

Facility Address:
2816 W FIRST STREET
SPRINGFIELD, OH
ZIP 45504
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Facility Phone Number: 937 322-8977

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013161215

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	36D0929867
LAB Type	Physician Office
Facility Name	REGIONAL OCCUPATIONAL HEALTH CLINICS LLC
Street	2816 W FIRST STREET
City	SPRINGFIELD
State	OH
ZIP	45504
Phone	937 322-8977
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024