36D0897090 CLIA NUMBER - ADDISON HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0897090
  • Facility Name: ADDISON HEALTHCARE CENTER
  • Facility Address: 8055 ADDISON RD SE
    MASURY, OH
    ZIP 44438
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VIVIAN I. STARR
  • NPI Number: 1053810358
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0897090
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ADDISON HEALTHCARE CENTER
Street 8055 ADDISON RD SE
City MASURY
State OH
ZIP 44438
Phone 513 530-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director VIVIAN I. STARR

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