36D0713160 CLIA NUMBER - TOWARD INDEPENDENCE INC

Laboratory Demographics

  • CLIA Code: 36D0713160
  • Facility Name: TOWARD INDEPENDENCE INC
  • Facility Address: 81 E MAIN STREET
    XENIA, OH
    ZIP 45385
  • Facility Phone: 937 376-3996
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: CASSIE LUCAS
  • NPI Number: 1053799783
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0713160
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name TOWARD INDEPENDENCE INC
Street 81 E MAIN STREET
City XENIA
State OH
ZIP 45385
Phone 937 376-3996
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 Intermediate Care Facility for Mentally Retarded
Lab Director CASSIE LUCAS

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