36D0859855 CLIA NUMBER - BLANCHARD VALLEY CONTINUING CARE SERVICES DBA INDEPENDENCE HOUSE

Laboratory Demographics

  • CLIA Code: 36D0859855
  • Facility Name: BLANCHARD VALLEY CONTINUING CARE SERVICES DBA INDEPENDENCE HOUSE
  • Facility Address: 1000 INDEPENDENCE RD
    FOSTORIA, OH
    ZIP 44830
  • Facility Phone: 419 435-8505
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMY SHERER
  • NPI Number: 1275719049
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0859855
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLANCHARD VALLEY CONTINUING CARE SERVICES DBA INDEPENDENCE HOUSE
Street 1000 INDEPENDENCE RD
City FOSTORIA
State OH
ZIP 44830
Phone 419 435-8505
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 AMY SHERER

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