36D0342682 CLIA NUMBER - SHADY LAWN NURSING HOME

Laboratory Demographics

  • CLIA Code: 36D0342682
  • Facility Name: SHADY LAWN NURSING HOME
  • Facility Address: 15028 OLD LINCOLN WAY EAST
    DALTON, OH
    ZIP 44618
  • Facility Phone: 330 828-2278
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LINDA K. SHANOR
  • NPI Number: 1457338360
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0342682
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHADY LAWN NURSING HOME
Street 15028 OLD LINCOLN WAY EAST
City DALTON
State OH
ZIP 44618
Phone 330 828-2278
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 LINDA K. SHANOR

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