36D0711681 CLIA NUMBER - NILES SKILLED NURSING LLC

Laboratory Demographics

  • CLIA Code: 36D0711681
  • Facility Name: NILES SKILLED NURSING LLC
  • Facility Address: 2565 NILES VIENNA RD
    NILES, OH
    ZIP 44446
  • Facility Phone: (330) 652-2053
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRISH MINNICK
  • NPI Number: 1063741445
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0711681
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NILES SKILLED NURSING LLC
Street 2565 NILES VIENNA RD
City NILES
State OH
ZIP 44446
Phone 3306522053
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 TRISH MINNICK

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This page was last updated on: 5/18/2026