36D2292212 CLIA NUMBER - AEG OHIO PROFESSIONAL PC DBA COMPREHENSIVE EYE CARE SPRINGFIELD

Laboratory Demographics

  • CLIA Code: 36D2292212
  • Facility Name: AEG OHIO PROFESSIONAL PC DBA COMPREHENSIVE EYE CARE SPRINGFIELD
  • Facility Address: 1024 N PLUM STREET
    SPRINGFIELD, OH
    ZIP 45504
  • Facility Phone: 937 342-1988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN DOWNER
  • NPI Number: 1386449692
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2292212
LAB Type Physician Office
Facility Name AEG OHIO PROFESSIONAL PC DBA COMPREHENSIVE EYE CARE SPRINGFIELD
Street 1024 N PLUM STREET
City SPRINGFIELD
State OH
ZIP 45504
Phone 937 342-1988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2023
Certificate Expiration Date 10/22/2025
Facility Type Physician Office
Lab Director JOHN DOWNER

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