36D0334840 CLIA NUMBER - MILL MANOR

Laboratory Demographics

  • CLIA Code: 36D0334840
  • Facility Name: MILL MANOR
  • Facility Address: 983 EXCHANGE STREET
    VERMILION, OH
    ZIP 44089
  • Facility Phone: 216 967-6614
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERRI GRANTHAM
  • NPI Number: 1780887836
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0334840
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILL MANOR
Street 983 EXCHANGE STREET
City VERMILION
State OH
ZIP 44089
Phone 216 967-6614
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 TERRI GRANTHAM

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