36D0680429 CLIA NUMBER - SYCAMORE RUN NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 36D0680429
  • Facility Name: SYCAMORE RUN NURSING AND REHABILITATION
  • Facility Address: 6180 S R 83
    MILLERSBURG, OH
    ZIP 44654
  • Facility Phone: 330 674-0015
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIRK HARTLINE
  • NPI Number: 1891739843
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0680429
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SYCAMORE RUN NURSING AND REHABILITATION
Street 6180 S R 83
City MILLERSBURG
State OH
ZIP 44654
Phone 330 674-0015
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 KIRK HARTLINE

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