36D0708707 CLIA NUMBER - RIDGEWOOD MANOR

Laboratory Demographics

  • CLIA Code: 36D0708707
  • Facility Name: RIDGEWOOD MANOR
  • Facility Address: 3231 MANLEY ROAD
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 419 865-1248
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARISA DESANTIS
  • NPI Number: 1265950174
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0708707
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIDGEWOOD MANOR
Street 3231 MANLEY ROAD
City MAUMEE
State OH
ZIP 43537
Phone 419 865-1248
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 MARISA DESANTIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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