36D2006886 CLIA NUMBER - JENNIFER D ROBERTS DO LLC

Laboratory Demographics

  • CLIA Code: 36D2006886
  • Facility Name: JENNIFER D ROBERTS DO LLC
  • Facility Address: 1735 27TH ST WALLER BLDG STE 206A
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 353-3196
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER D. ROBERTS
  • NPI Number: 1629505946
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2006886
LAB Type Physician Office
Facility Name JENNIFER D ROBERTS DO LLC
Street 1735 27TH ST WALLER BLDG STE 206A
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 353-3196
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 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director JENNIFER D. ROBERTS

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