36D0890598 CLIA NUMBER - REST HAVEN NURSING HOME

Laboratory Demographics

  • CLIA Code: 36D0890598
  • Facility Name: REST HAVEN NURSING HOME
  • Facility Address: 2274 MCDERMOTT POND CREEK ROAD
    MCDERMOTT, OH
    ZIP 45652
  • Facility Phone: 740 259-2838
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANA HAMMOND
  • NPI Number: 1336135698
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0890598
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REST HAVEN NURSING HOME
Street 2274 MCDERMOTT POND CREEK ROAD
City MCDERMOTT
State OH
ZIP 45652
Phone 740 259-2838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DANA HAMMOND

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