36D0667271 CLIA NUMBER - GLENDORA HEALTH CARE

Laboratory Demographics

  • CLIA Code: 36D0667271
  • Facility Name: GLENDORA HEALTH CARE
  • Facility Address: 1552 N HONEYTOWN RD
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: 330 264-0912
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA JACKSON
  • NPI Number: 1497916274
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D0667271
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLENDORA HEALTH CARE
Street 1552 N HONEYTOWN RD
City WOOSTER
State OH
ZIP 44691
Phone 330 264-0912
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 MELISSA JACKSON

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