36D0690405 CLIA NUMBER - ST LEONARD CENTER

Laboratory Demographics

  • CLIA Code: 36D0690405
  • Facility Name: ST LEONARD CENTER
  • Facility Address: 8100 CLYO ROAD
    CENTERVILLE, OH
    ZIP 45458
  • Facility Phone: 937 439-7189
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANTON VASILIU
  • NPI Number: 1467813030
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0690405
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST LEONARD CENTER
Street 8100 CLYO ROAD
City CENTERVILLE
State OH
ZIP 45458
Phone 937 439-7189
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 ANTON VASILIU

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