36D1106890 CLIA NUMBER - MEGCO MANAGEMENT CO DBA HENNIS CARE CENTRE OF BOLIVAR

Laboratory Demographics

  • CLIA Code: 36D1106890
  • Facility Name: MEGCO MANAGEMENT CO DBA HENNIS CARE CENTRE OF BOLIVAR
  • Facility Address: 300 YANT STREET
    BOLIVAR, OH
    ZIP 44612
  • Facility Phone: 330 874-9999
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE JONES
  • NPI Number: 1366455107
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1106890
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEGCO MANAGEMENT CO DBA HENNIS CARE CENTRE OF BOLIVAR
Street 300 YANT STREET
City BOLIVAR
State OH
ZIP 44612
Phone 330 874-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NICOLE JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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