36D2061071 CLIA NUMBER - MARK E SCHMIDT OD

Laboratory Demographics

  • CLIA Code: 36D2061071
  • Facility Name: MARK E SCHMIDT OD
  • Facility Address: 460 RONA PKWY
    BROOKVILLE, OH
    ZIP 45309
  • Facility Phone: 937 833-4054
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK E. SCHMIDT
  • NPI Number: 1487640637
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2061071
LAB Type Physician Office
Facility Name MARK E SCHMIDT OD
Street 460 RONA PKWY
City BROOKVILLE
State OH
ZIP 45309
Phone 937 833-4054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director MARK E. SCHMIDT

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