36D0988520 CLIA NUMBER - SPRINGFIELD CBOC

Laboratory Demographics

  • CLIA Code: 36D0988520
  • Facility Name: SPRINGFIELD CBOC
  • Facility Address: 510 S BURNETT RD
    SPRINGFIELD, OH
    ZIP 45502
  • Facility Phone: 937 328-3385
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MUMTAZ SAJJAD
  • NPI Number: 1881776615
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 36D0988520
LAB Type Community Clinic
Facility Name SPRINGFIELD CBOC
Street 510 S BURNETT RD
City SPRINGFIELD
State OH
ZIP 45502
Phone 937 328-3385
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/29/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director MUMTAZ SAJJAD

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