36D0873999 CLIA NUMBER - OAK GROVE MANOR

Laboratory Demographics

  • CLIA Code: 36D0873999
  • Facility Name: OAK GROVE MANOR
  • Facility Address: 1670 CRIDER ROAD
    MANSFIELD, OH
    ZIP 44903
  • Facility Phone: 419 589-6222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LINDA LAMSON
  • NPI Number: 1073687752
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0873999
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK GROVE MANOR
Street 1670 CRIDER ROAD
City MANSFIELD
State OH
ZIP 44903
Phone 419 589-6222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2023
Certificate Expiration Date 8/3/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LINDA LAMSON

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This page was last updated on: 3/20/2025