36D1107468 CLIA NUMBER - OTTERBEIN HOME HEALTH

Laboratory Demographics

  • CLIA Code: 36D1107468
  • Facility Name: OTTERBEIN HOME HEALTH
  • Facility Address: 570 N STATE ROUTE 741 SUITE 222
    LEBANON, OH
    ZIP 45036
  • Facility Phone: 513 696-8565
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHEILA WHEELER
  • NPI Number: 1598131476
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1107468
LAB Type Home Health Agency
Facility Name OTTERBEIN HOME HEALTH
Street 570 N STATE ROUTE 741 SUITE 222
City LEBANON
State OH
ZIP 45036
Phone 513 696-8565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Home Health Agency
Lab Director SHEILA WHEELER

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