36D0695185 CLIA NUMBER - RIVERSIDE MANOR NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 36D0695185
  • Facility Name: RIVERSIDE MANOR NURSING AND REHAB CENTER
  • Facility Address: 1100 EAST STATE ROAD
    NEWCOMERSTOWN, OH
    ZIP 43832
  • Facility Phone: 740 498-5165
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DWAYNE N. SHEPHERD
  • NPI Number: 1578664272
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0695185
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERSIDE MANOR NURSING AND REHAB CENTER
Street 1100 EAST STATE ROAD
City NEWCOMERSTOWN
State OH
ZIP 43832
Phone 740 498-5165
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 DWAYNE N. SHEPHERD

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