36D0656398 CLIA NUMBER - MARY SCOTT NURSING CENTER

Laboratory Demographics

  • CLIA Code: 36D0656398
  • Facility Name: MARY SCOTT NURSING CENTER
  • Facility Address: 3109 CAMPUS DRIVE
    DAYTON, OH
    ZIP 45406
  • Facility Phone: (937) 278-0761
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY BENNETT
  • NPI Number: 1114932852
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0656398
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARY SCOTT NURSING CENTER
Street 3109 CAMPUS DRIVE
City DAYTON
State OH
ZIP 45406
Phone 9372780761
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 TIFFANY BENNETT

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