36D0955177 CLIA NUMBER - PRESERVE OPERATING CO, LLC DBA BROOKSIDE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0955177
  • Facility Name: PRESERVE OPERATING CO, LLC DBA BROOKSIDE HEALTHCARE CENTER
  • Facility Address: 315 LILIENTHAL STREET
    CINCINNATI, OH
    ZIP 45204
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GRETCHEN O. SEROTA
  • NPI Number: 1851803266
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0955177
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRESERVE OPERATING CO, LLC DBA BROOKSIDE HEALTHCARE CENTER
Street 315 LILIENTHAL STREET
City CINCINNATI
State OH
ZIP 45204
Phone 513 530-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GRETCHEN O. SEROTA

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