36D0701470 CLIA NUMBER - WYOMING LEASING CO, LLC DBA IVY WOODS HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0701470
  • Facility Name: WYOMING LEASING CO, LLC DBA IVY WOODS HEALTHCARE CENTER
  • Facility Address: 2025 WYOMING AVENUE
    CINCINNATI, OH
    ZIP 45205
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHAZIA KHAN
  • NPI Number: 1811570955
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0701470
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WYOMING LEASING CO, LLC DBA IVY WOODS HEALTHCARE CENTER
Street 2025 WYOMING AVENUE
City CINCINNATI
State OH
ZIP 45205
Phone 513 530-1808
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 SHAZIA KHAN

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