36D0933566 CLIA NUMBER - SHELLY L THOMPSON MD INC

Laboratory Demographics

  • CLIA Code: 36D0933566
  • Facility Name: SHELLY L THOMPSON MD INC
  • Facility Address: 830 E MAIN ST
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 689-6699
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHELLY L. THOMPSON
  • NPI Number: 1750823829
  • Taxonomy: 164W00000X - Licensed Practical Nurse

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CLIA Record

Field Name Field Value
CLIA Number 36D0933566
LAB Type Physician Office
Facility Name SHELLY L THOMPSON MD INC
Street 830 E MAIN ST
City LANCASTER
State OH
ZIP 43130
Phone 740 689-6699
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 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director SHELLY L. THOMPSON

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