36D0910387 CLIA NUMBER - ADDISON HEIGHTS HEALTH & REHABILITATION CENTER, LLC

Laboratory Demographics

  • CLIA Code: 36D0910387
  • Facility Name: ADDISON HEIGHTS HEALTH & REHABILITATION CENTER, LLC
  • Facility Address: 3600 BUTZ ROAD
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: (419) 867-7926
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS SMALLWOOD
  • NPI Number: 1619985157
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0910387
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ADDISON HEIGHTS HEALTH & REHABILITATION CENTER, LLC
Street 3600 BUTZ ROAD
City MAUMEE
State OH
ZIP 43537
Phone 4198677926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2026
Certificate Expiration Date 1/7/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THOMAS SMALLWOOD

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This page was last updated on: 5/18/2026