36D0332311 CLIA NUMBER - DIVINE REHABILITATION AND NURSING AT WHITE OAK

Laboratory Demographics

  • CLIA Code: 36D0332311
  • Facility Name: DIVINE REHABILITATION AND NURSING AT WHITE OAK
  • Facility Address: 4420 SOUTH AVENUE
    TOLEDO, OH
    ZIP 43615
  • Facility Phone: 419 531-4201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIONSHA WASHINGTON
  • NPI Number: 1295037463
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0332311
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DIVINE REHABILITATION AND NURSING AT WHITE OAK
Street 4420 SOUTH AVENUE
City TOLEDO
State OH
ZIP 43615
Phone 419 531-4201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DIONSHA WASHINGTON

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