36D0880239 CLIA NUMBER - GANYARD HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 36D0880239
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name GANYARD HOUSE
Street 3971 GANYARD DRIVE
City BRUNSWICK
State OH
ZIP 44212
Phone 330 225-9694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DENISE T. POZERAC

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