36D2011344 CLIA NUMBER - ROBERTS AND ROBERTS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D2011344
  • Facility Name: ROBERTS AND ROBERTS FAMILY PRACTICE
  • Facility Address: 1735 27TH STREET WALLER BUILDING SUITE 206
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 354-7600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHILIP M. ROBERTS
  • NPI Number: 1780997155
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2011344
LAB Type Physician Office
Facility Name ROBERTS AND ROBERTS FAMILY PRACTICE
Street 1735 27TH STREET WALLER BUILDING SUITE 206
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 354-7600
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 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director PHILIP M. ROBERTS

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