36D0723408 CLIA NUMBER - MIDLAND LEASING C, LLC DBA CRESTOOD CARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0723408
  • Facility Name: MIDLAND LEASING C, LLC DBA CRESTOOD CARE CENTER
  • Facility Address: 225 WEST MAIN STREET
    SHELBY, OH
    ZIP 44875
  • Facility Phone: 419 347-1266
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AARON YOUNG
  • NPI Number: 1588645667
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0723408
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MIDLAND LEASING C, LLC DBA CRESTOOD CARE CENTER
Street 225 WEST MAIN STREET
City SHELBY
State OH
ZIP 44875
Phone 419 347-1266
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 AARON YOUNG

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