36D1035835 CLIA NUMBER - OTTERBEIN AT GRANVILLE

Laboratory Demographics

  • CLIA Code: 36D1035835
  • Facility Name: OTTERBEIN AT GRANVILLE
  • Facility Address: 2158 COLUMBUS ROAD
    GRANVILLE, OH
    ZIP 43023
  • Facility Phone: 740 587-2840
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DOUGLAS P. HELMAN
  • NPI Number: 1003974023
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1035835
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OTTERBEIN AT GRANVILLE
Street 2158 COLUMBUS ROAD
City GRANVILLE
State OH
ZIP 43023
Phone 740 587-2840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DOUGLAS P. HELMAN

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