36D0688379 CLIA NUMBER - BETHANY VILLAGE

Laboratory Demographics

  • CLIA Code: 36D0688379
  • Facility Name: BETHANY VILLAGE
  • Facility Address: 6445 FAR HILLS AVENUE
    CENTERVILLE, OH
    ZIP 45459
  • Facility Phone: 937 433-2110
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LAUREN COYLE
  • NPI Number: 1033201611
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0688379
LAB Type Assisted Living Facility
Facility Name BETHANY VILLAGE
Street 6445 FAR HILLS AVENUE
City CENTERVILLE
State OH
ZIP 45459
Phone 937 433-2110
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 Assisted Living Facility
Lab Director LAUREN COYLE

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