36D2007770 CLIA NUMBER - OTTERBEIN MAINEVILLE LLC

Laboratory Demographics

  • CLIA Code: 36D2007770
  • Facility Name: OTTERBEIN MAINEVILLE LLC
  • Facility Address: 201 MARGE SCHOTT WAY
    MAINEVILLE, OH
    ZIP 45039
  • Facility Phone: 513 583-5161
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WAYNE F. ROST
  • NPI Number: 1023337847
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2007770
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OTTERBEIN MAINEVILLE LLC
Street 201 MARGE SCHOTT WAY
City MAINEVILLE
State OH
ZIP 45039
Phone 513 583-5161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WAYNE F. ROST

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