36D0656265 CLIA NUMBER - FAIRFIELD CENTER

Laboratory Demographics

  • CLIA Code: 36D0656265
  • Facility Name: FAIRFIELD CENTER
  • Facility Address: 350 KOLB DRIVE
    FAIRFIELD, OH
    ZIP 45014
  • Facility Phone: (513) 874-0423
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: DEANNA WEST RN
  • NPI Number: 1700333168
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0656265
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name FAIRFIELD CENTER
Street 350 KOLB DRIVE
City FAIRFIELD
State OH
ZIP 45014
Phone 5138740423
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 Intermediate Care Facility for Mentally Retarded
Lab Director DEANNA WEST RN

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: 5/18/2026