36D0348601 CLIA NUMBER - SIDNEY REHAB LLC DBA MOMENTOUS HEALTH AT SIDNEY

Laboratory Demographics

  • CLIA Code: 36D0348601
  • Facility Name: SIDNEY REHAB LLC DBA MOMENTOUS HEALTH AT SIDNEY
  • Facility Address: 510 BUCKEYE AVENUE
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 492-3171
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MIGUEL TOPOLOV
  • NPI Number: 1154305332
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0348601
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SIDNEY REHAB LLC DBA MOMENTOUS HEALTH AT SIDNEY
Street 510 BUCKEYE AVENUE
City SIDNEY
State OH
ZIP 45365
Phone 937 492-3171
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 MIGUEL TOPOLOV

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