36D0656421 CLIA NUMBER - WALNUT CREEK NURSING CENTER

Laboratory Demographics

  • CLIA Code: 36D0656421
  • Facility Name: WALNUT CREEK NURSING CENTER
  • Facility Address: 5070 LAMME ROAD
    KETTERING, OH
    ZIP 45439
  • Facility Phone: 937 293-7703
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERRY CARR
  • NPI Number: 1043204738
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0656421
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WALNUT CREEK NURSING CENTER
Street 5070 LAMME ROAD
City KETTERING
State OH
ZIP 45439
Phone 937 293-7703
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 TERRY CARR

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