36D0870485 CLIA NUMBER - O'BRIEN MEMORIAL NURSING HOME

Laboratory Demographics

  • CLIA Code: 36D0870485
  • Facility Name: O'BRIEN MEMORIAL NURSING HOME
  • Facility Address: 563 BROOKFIELD AVE SE
    MASURY, OH
    ZIP 44438
  • Facility Phone: 330 448-2557
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CONNIE HRICIK
  • NPI Number: 1942210760
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0870485
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name O'BRIEN MEMORIAL NURSING HOME
Street 563 BROOKFIELD AVE SE
City MASURY
State OH
ZIP 44438
Phone 330 448-2557
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 CONNIE HRICIK

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