36D1028226 CLIA NUMBER - SPRINGBORO FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D1028226
  • Facility Name: SPRINGBORO FAMILY MEDICINE
  • Facility Address: 630 N MAIN ST
    SPRINGBORO, OH
    ZIP 45066
  • Facility Phone: 937 748-4211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ARIANA N. HERBERT
  • NPI Number: 1053817478
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D1028226
LAB Type Physician Office
Facility Name SPRINGBORO FAMILY MEDICINE
Street 630 N MAIN ST
City SPRINGBORO
State OH
ZIP 45066
Phone 937 748-4211
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 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director ARIANA N. HERBERT

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