36D0662362 CLIA NUMBER - WILLOW KNOLL POST ACUTE AND SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 36D0662362
  • Facility Name: WILLOW KNOLL POST ACUTE AND SENIOR LIVING
  • Facility Address: 4400 VANNEST AVENUE
    MIDDLETOWN, OH
    ZIP 45042
  • Facility Phone: 513 422-5600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW JOHN CASTELLANOS
  • NPI Number: 1396391843
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0662362
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLOW KNOLL POST ACUTE AND SENIOR LIVING
Street 4400 VANNEST AVENUE
City MIDDLETOWN
State OH
ZIP 45042
Phone 513 422-5600
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 ANDREW JOHN CASTELLANOS

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