36D2016005 CLIA NUMBER - CARDINAL PLACE

Laboratory Demographics

  • CLIA Code: 36D2016005
  • Facility Name: CARDINAL PLACE
  • Facility Address: 163 MEADOW PARK DRIVE
    CAMBRIDGE, OH
    ZIP 43725
  • Facility Phone: 740 439-5710
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARANDA GIBBS
  • NPI Number: 1780871095
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2016005
LAB Type Assisted Living Facility
Facility Name CARDINAL PLACE
Street 163 MEADOW PARK DRIVE
City CAMBRIDGE
State OH
ZIP 43725
Phone 740 439-5710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Assisted Living Facility
Lab Director MARANDA GIBBS

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