36D0334544 CLIA NUMBER - HOLLY HILL NURSING HOME

Laboratory Demographics

  • CLIA Code: 36D0334544
  • Facility Name: HOLLY HILL NURSING HOME
  • Facility Address: 10190 FAIRMOUNT RD
    NEWBURY, OH
    ZIP 44065
  • Facility Phone: 440 338-8220
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CATHERINE A. DAHLEM
  • NPI Number: 1144392523
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0334544
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLY HILL NURSING HOME
Street 10190 FAIRMOUNT RD
City NEWBURY
State OH
ZIP 44065
Phone 440 338-8220
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 CATHERINE A. DAHLEM

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