36D0334152 CLIA NUMBER - MANOR HOME HEALTHCARE INC

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Field Name	Field Value
CLIA Number	36D0334152
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	MANOR HOME HEALTHCARE INC
Street	246 NORTH BROADWAY
City	GENEVA
State	OH
ZIP	44041
Phone	440 466-1808
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	JOHN DALSKY

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