36D0995460 CLIA NUMBER - CHERITH CARE CENTER AT WILLOW BROOK

Laboratory Demographics

  • CLIA Code: 36D0995460
  • Facility Name: CHERITH CARE CENTER AT WILLOW BROOK
  • Facility Address: 100 WILLOWBROOK WAY SOUTH
    DELAWARE, OH
    ZIP 43015
  • Facility Phone: 740 369-0048
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PETER S. HUCEK
  • NPI Number: 1811967078
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0995460
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHERITH CARE CENTER AT WILLOW BROOK
Street 100 WILLOWBROOK WAY SOUTH
City DELAWARE
State OH
ZIP 43015
Phone 740 369-0048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PETER S. HUCEK

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