36D1034155 CLIA NUMBER - ORRVILLA MAPLE TERRACE

Laboratory Demographics

  • CLIA Code: 36D1034155
  • Facility Name: ORRVILLA MAPLE TERRACE
  • Facility Address: 333 EAST SASSAFRAS STREET
    ORRVILLE, OH
    ZIP 44667
  • Facility Phone: 330 683-4455
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: REBECCA OLLER
  • NPI Number: 1588032965
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1034155
LAB Type Other
Facility Name ORRVILLA MAPLE TERRACE
Street 333 EAST SASSAFRAS STREET
City ORRVILLE
State OH
ZIP 44667
Phone 330 683-4455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Other
Lab Director REBECCA OLLER

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