36D0343937 CLIA NUMBER - CRESTLINE REHABILITATION AND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 36D0343937
  • Facility Name: CRESTLINE REHABILITATION AND NURSING CENTER
  • Facility Address: 327 W MAIN STREET
    CRESTLINE, OH
    ZIP 44827
  • Facility Phone: 419 683-3255
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIM SHERBURNE
  • NPI Number: 1437163243
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0343937
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTLINE REHABILITATION AND NURSING CENTER
Street 327 W MAIN STREET
City CRESTLINE
State OH
ZIP 44827
Phone 419 683-3255
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 KIM SHERBURNE

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