36D0965709 CLIA NUMBER - HUMILITY HOUSE

Laboratory Demographics

  • CLIA Code: 36D0965709
  • Facility Name: HUMILITY HOUSE
  • Facility Address: 755 OHLTOWN ROAD
    AUSTINTOWN, OH
    ZIP 44515
  • Facility Phone: 330 505-0144
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA R. MILLER
  • NPI Number: 1588717920
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0965709
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HUMILITY HOUSE
Street 755 OHLTOWN ROAD
City AUSTINTOWN
State OH
ZIP 44515
Phone 330 505-0144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMANDA R. MILLER

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