36D0901660 CLIA NUMBER - MENNONITE MEMORIAL HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 36D0901660
  • Facility Name: MENNONITE MEMORIAL HOME HEALTH SERVICES
  • Facility Address: 410 W ELM ST
    BLUFFTON, OH
    ZIP 45817
  • Facility Phone: 419 358-1015
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HEATHER CLUM
  • NPI Number: 1174331656
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0901660
LAB Type Home Health Agency
Facility Name MENNONITE MEMORIAL HOME HEALTH SERVICES
Street 410 W ELM ST
City BLUFFTON
State OH
ZIP 45817
Phone 419 358-1015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Home Health Agency
Lab Director HEATHER CLUM

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