36D0917756 CLIA NUMBER - BICKFORD OF WORTHINGTON

Laboratory Demographics

CLIA Number: 36D0917756

Facility Name: BICKFORD OF WORTHINGTON

Facility Address:
65 WESLEY BLVD
WORTHINGTON, OH
ZIP 43085
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Facility Phone Number: 614 846-6500

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1083289565

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	36D0917756
LAB Type	Assisted Living Facility
Facility Name	BICKFORD OF WORTHINGTON
Street	65 WESLEY BLVD
City	WORTHINGTON
State	OH
ZIP	43085
Phone	614 846-6500
CertificateType	4
CertificateEffectiveDate	7/25/2022
CertificateExpirationDate	7/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024