36D0974219 CLIA NUMBER - CLARK COUNTY COMBINED HEALTH DISTRICT

Laboratory Demographics

  • CLIA Code: 36D0974219
  • Facility Name: CLARK COUNTY COMBINED HEALTH DISTRICT
  • Facility Address: 529 EAST HOME ROAD
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 390-5600
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: LAURA THOMPSON
  • NPI Number: 1265549604
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 36D0974219
LAB Type Public Health Laboratories
Facility Name CLARK COUNTY COMBINED HEALTH DISTRICT
Street 529 EAST HOME ROAD
City SPRINGFIELD
State OH
ZIP 45503
Phone 937 390-5600
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 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Public Health Laboratories
Lab Director LAURA THOMPSON

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