36D1031212 CLIA NUMBER - STEUBENVILLE COUNTRY CLUB MANOR

Laboratory Demographics

  • CLIA Code: 36D1031212
  • Facility Name: STEUBENVILLE COUNTRY CLUB MANOR
  • Facility Address: 575 LOVER'S LANE
    STEUBENVILLE, OH
    ZIP 43952
  • Facility Phone: 740 266-6118
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES J. BOLGER
  • NPI Number: 1679667083
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1031212
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STEUBENVILLE COUNTRY CLUB MANOR
Street 575 LOVER'S LANE
City STEUBENVILLE
State OH
ZIP 43952
Phone 740 266-6118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAMES J. BOLGER

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