36D0959059 CLIA NUMBER - WHITEHOUSE COUNTRY MANOR

Laboratory Demographics

  • CLIA Code: 36D0959059
  • Facility Name: WHITEHOUSE COUNTRY MANOR
  • Facility Address: 11239 WATERVILLE STREET
    WHITEHOUSE, OH
    ZIP 43571
  • Facility Phone: 419 877-5338
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS E. ASHER DO
  • NPI Number: 1831216688
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0959059
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITEHOUSE COUNTRY MANOR
Street 11239 WATERVILLE STREET
City WHITEHOUSE
State OH
ZIP 43571
Phone 419 877-5338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THOMAS E. ASHER DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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