36D0343198 CLIA NUMBER - WAYNE MANOR

Laboratory Demographics

  • CLIA Code: 36D0343198
  • Facility Name: WAYNE MANOR
  • Facility Address: 4138 SWANSON BLVD
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: 330 345-8007
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANN E. MILLER LPN
  • NPI Number: 1396067138
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0343198
LAB Type Other
Facility Name WAYNE MANOR
Street 4138 SWANSON BLVD
City WOOSTER
State OH
ZIP 44691
Phone 330 345-8007
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 Other
Lab Director ANN E. MILLER LPN

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