36D0883670 CLIA NUMBER - HAWTHORN GLEN NURSING CENTER

Laboratory Demographics

  • CLIA Code: 36D0883670
  • Facility Name: HAWTHORN GLEN NURSING CENTER
  • Facility Address: 5414 HANKINS ROAD
    MIDDLETOWN, OH
    ZIP 45044
  • Facility Phone: 513 863-7775
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA L. NISSEN
  • NPI Number: 1346236429
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0883670
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAWTHORN GLEN NURSING CENTER
Street 5414 HANKINS ROAD
City MIDDLETOWN
State OH
ZIP 45044
Phone 513 863-7775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director REBECCA L. NISSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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