36D1000945 CLIA NUMBER - STONEY RIDGE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 36D1000945
  • Facility Name: STONEY RIDGE SENIOR LIVING
  • Facility Address: 8630 WASHINGTON CHURCH ROAD
    MIAMISBURG, OH
    ZIP 45342
  • Facility Phone: 937 291-3211
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KELLI DAVIS
  • NPI Number: 1871092031
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1000945
LAB Type Assisted Living Facility
Facility Name STONEY RIDGE SENIOR LIVING
Street 8630 WASHINGTON CHURCH ROAD
City MIAMISBURG
State OH
ZIP 45342
Phone 937 291-3211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Assisted Living Facility
Lab Director KELLI DAVIS

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