36D0350725 CLIA NUMBER - GALLIPOLIS OPCO, LLC

Laboratory Demographics

  • CLIA Code: 36D0350725
  • Facility Name: GALLIPOLIS OPCO, LLC
  • Facility Address: 170 PINECREST DRIVE
    GALLIPOLIS, OH
    ZIP 45631
  • Facility Phone: 740 446-7112
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRITTANY WOMELDORF
  • NPI Number: 1881082006
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0350725
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GALLIPOLIS OPCO, LLC
Street 170 PINECREST DRIVE
City GALLIPOLIS
State OH
ZIP 45631
Phone 740 446-7112
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 BRITTANY WOMELDORF

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