36D0667320 CLIA NUMBER - MINERVA OPCO, LLC

Laboratory Demographics

  • CLIA Code: 36D0667320
  • Facility Name: MINERVA OPCO, LLC
  • Facility Address: 400 CAROLYN COURT
    MINERVA, OH
    ZIP 44657
  • Facility Phone: 330 868-4104
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA WATSON
  • NPI Number: 1740688688
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0667320
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MINERVA OPCO, LLC
Street 400 CAROLYN COURT
City MINERVA
State OH
ZIP 44657
Phone 330 868-4104
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 REBECCA WATSON

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