36D0861777 CLIA NUMBER - CONVALARIUM AT INDIAN RUN, THE

Laboratory Demographics

  • CLIA Code: 36D0861777
  • Facility Name: CONVALARIUM AT INDIAN RUN, THE
  • Facility Address: 6430 POST ROAD
    DUBLIN, OH
    ZIP 43016
  • Facility Phone: 614 761-1188
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINA BEVERLY
  • NPI Number: 1942890306
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0861777
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CONVALARIUM AT INDIAN RUN, THE
Street 6430 POST ROAD
City DUBLIN
State OH
ZIP 43016
Phone 614 761-1188
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 CHRISTINA BEVERLY

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