36D0718519 CLIA NUMBER - SHELBY SKILLED NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 36D0718519
  • Facility Name: SHELBY SKILLED NURSING AND REHABILITATION
  • Facility Address: 705 FULTON STREET
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 513 492-9591
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARIANNE S. WILDERMUTH
  • NPI Number: 1073588141
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0718519
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHELBY SKILLED NURSING AND REHABILITATION
Street 705 FULTON STREET
City SIDNEY
State OH
ZIP 45365
Phone 513 492-9591
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 MARIANNE S. WILDERMUTH

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