36D0946928 CLIA NUMBER - ROSS COUNTY BOARD OF MRDD

Laboratory Demographics

CLIA Number: 36D0946928

Facility Name: ROSS COUNTY BOARD OF MRDD

Facility Address:
11268 COUNTY ROAD 550
CHILLICOTHE, OH
ZIP 45601
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Facility Phone Number: 740 773-2165

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1982143392

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	36D0946928
LAB Type	School/Student Health Service
Facility Name	ROSS COUNTY BOARD OF MRDD
Street	11268 COUNTY ROAD 550
City	CHILLICOTHE
State	OH
ZIP	45601
Phone	740 773-2165
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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