36D0959108 CLIA NUMBER - ADENA HEALTH CENTER - WAVERLY

Laboratory Demographics

  • CLIA Code: 36D0959108
  • Facility Name: ADENA HEALTH CENTER - WAVERLY
  • Facility Address: 12340 STATE ROUTE 104
    WAVERLY, OH
    ZIP 45690
  • Facility Phone: 740 779-7652
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JEREMY PARSONS
  • NPI Number: 1811174832
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0959108
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ADENA HEALTH CENTER - WAVERLY
Street 12340 STATE ROUTE 104
City WAVERLY
State OH
ZIP 45690
Phone 740 779-7652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JEREMY PARSONS

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