36D0930653 CLIA NUMBER - SCIOTO TRAILS

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CLIA Record

Field Name Field Value
CLIA Number 36D0930653
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SCIOTO TRAILS
Street 374 GOOD MANOR RD
City LUCASVILLE
State OH
ZIP 45648
Phone 740 289-2861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHAYLA BECZE

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