36D0655796 CLIA NUMBER - WEXNER HERITAGE VILLAGE

Laboratory Demographics

  • CLIA Code: 36D0655796
  • Facility Name: WEXNER HERITAGE VILLAGE
  • Facility Address: 1151 COLLEGE AVENUE
    COLUMBUS, OH
    ZIP 43209
  • Facility Phone: (614) 231-4900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CLYNTHIA SMITH
  • NPI Number: 1932197704
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0655796
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEXNER HERITAGE VILLAGE
Street 1151 COLLEGE AVENUE
City COLUMBUS
State OH
ZIP 43209
Phone 6142314900
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 CLYNTHIA SMITH

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This page was last updated on: 5/18/2026