36D1025664 CLIA NUMBER - CONNIE BALL MD

Laboratory Demographics

  • CLIA Code: 36D1025664
  • Facility Name: CONNIE BALL MD
  • Facility Address: 562 N MAIN ST
    SPRINGBORO, OH
    ZIP 45066
  • Facility Phone: (937) 748-5346
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONNIE BALL
  • NPI Number: 1528176393
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1025664
LAB Type Physician Office
Facility Name CONNIE BALL MD
Street 562 N MAIN ST
City SPRINGBORO
State OH
ZIP 45066
Phone 9377485346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2026
Certificate Expiration Date 2/24/2028
Facility Type Physician Office
Lab Director CONNIE BALL

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This page was last updated on: 5/15/2026