36D0351011 CLIA NUMBER - ADENA PIKE MEDICAL CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 36D0351011
  • Facility Name: ADENA PIKE MEDICAL CENTER LABORATORY
  • Facility Address: 100 DAWN LANE
    WAVERLY, OH
    ZIP 45690
  • Facility Phone: 740 947-6351
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. TISHA G. DELLOS
  • NPI Number: 1942690698
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0351011
LAB Type Hospital
Facility Name ADENA PIKE MEDICAL CENTER LABORATORY
Street 100 DAWN LANE
City WAVERLY
State OH
ZIP 45690
Phone 740 947-6351
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Hospital
Lab Director DR. TISHA G. DELLOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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