36D0717106 CLIA NUMBER - STILLWATER SKILLED NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 36D0717106
  • Facility Name: STILLWATER SKILLED NURSING AND REHABILITATION
  • Facility Address: 75 MOTE DRIVE ATTN ADMINISTRATOR
    COVINGTON, OH
    ZIP 45318
  • Facility Phone: 937 473-2075
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRII KING
  • NPI Number: 1205836368
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0717106
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STILLWATER SKILLED NURSING AND REHABILITATION
Street 75 MOTE DRIVE ATTN ADMINISTRATOR
City COVINGTON
State OH
ZIP 45318
Phone 937 473-2075
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 BRII KING

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