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36D0932100 CLIA NUMBER - SURGICAL ASSOCIATES OF SPRINGFIELD INC DBA SAS SURGERY & VEIN SPECIALISTS

Laboratory Demographics

CLIA Number: 36D0932100

Facility Name: SURGICAL ASSOCIATES OF SPRINGFIELD INC DBA SAS SURGERY & VEIN SPECIALISTS

Facility Address:
30 WARDER ST STE 220 & 240
SPRINGFIELD, OH
ZIP 45504
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Facility Phone Number: 937 399-7021

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1437219458

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 36D0932100
LAB Type Physician Office
Facility Name SURGICAL ASSOCIATES OF SPRINGFIELD INC DBA SAS SURGERY & VEIN SPECIALISTS
Street 30 WARDER ST STE 220 & 240
City SPRINGFIELD
State OH
ZIP 45504
Phone 937 399-7021
CertificateType 4
CertificateEffectiveDate 2/26/2024
CertificateExpirationDate 2/25/2026
FacilityType Waiver

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