36D0722735 CLIA NUMBER - SALEM WEST HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0722735
  • Facility Name: SALEM WEST HEALTHCARE CENTER
  • Facility Address: 2511 BENTLEY DRIVE
    SALEM, OH
    ZIP 44460
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES DEMIDOVICH
  • NPI Number: 1629577325
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0722735
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SALEM WEST HEALTHCARE CENTER
Street 2511 BENTLEY DRIVE
City SALEM
State OH
ZIP 44460
Phone 513 530-1808
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 JAMES DEMIDOVICH

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