36D0663211 CLIA NUMBER - BRIDGEPORT HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0663211
  • Facility Name: BRIDGEPORT HEALTHCARE CENTER
  • Facility Address: 2125 ROYCE STREET
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIRK JUSCHKA
  • NPI Number: 1457539579
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0663211
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIDGEPORT HEALTHCARE CENTER
Street 2125 ROYCE STREET
City PORTSMOUTH
State OH
ZIP 45662
Phone 513 530-1808
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 DIRK JUSCHKA

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