36D0351272 CLIA NUMBER - OVERBROOK CENTER

Laboratory Demographics

  • CLIA Code: 36D0351272
  • Facility Name: OVERBROOK CENTER
  • Facility Address: 333 PAGE STREET
    MIDDLEPORT, OH
    ZIP 45760
  • Facility Phone: 740 992-6472
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE GILMORE
  • NPI Number: 1043217011
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0351272
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OVERBROOK CENTER
Street 333 PAGE STREET
City MIDDLEPORT
State OH
ZIP 45760
Phone 740 992-6472
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 MICHELLE GILMORE

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