36D0333141 CLIA NUMBER - LAFAYETTE MEADOWS

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Field Name	Field Value
CLIA Number	36D0333141
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LAFAYETTE MEADOWS
Street	22000 ORCHARD ST BOX 30
City	WEST LAFAYETTE
State	OH
ZIP	43845
Phone	740 545-6366
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	Intermediate Care Facility for Mentally Retarded
Lab Director	MICHAEL D. SLEUTZ

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