36D0678117 CLIA NUMBER - PICKAWAY MANOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0678117
  • Facility Name: PICKAWAY MANOR CARE CENTER
  • Facility Address: 391 CLARK DRIVE
    CIRCLEVILLE, OH
    ZIP 43113
  • Facility Phone: 740 474-6036
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAURA L. DEWITT RNN
  • NPI Number: 1952300220
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0678117
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PICKAWAY MANOR CARE CENTER
Street 391 CLARK DRIVE
City CIRCLEVILLE
State OH
ZIP 43113
Phone 740 474-6036
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 LAURA L. DEWITT RNN

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