36D0723286 CLIA NUMBER - CEDARVALE COMMONS REHAB & HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0723286
  • Facility Name: CEDARVALE COMMONS REHAB & HEALTHCARE CENTER
  • Facility Address: 375 GLENN AVE
    WASHINGTON COURT HOUSE, OH
    ZIP 43160
  • Facility Phone: 740 335-9270
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPHINE MINTA
  • NPI Number: 1063846020
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0723286
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CEDARVALE COMMONS REHAB & HEALTHCARE CENTER
Street 375 GLENN AVE
City WASHINGTON COURT HOUSE
State OH
ZIP 43160
Phone 740 335-9270
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 JOSEPHINE MINTA

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