36D2016488 CLIA NUMBER - CSJI TIFFIN - INC DBA FRIEDMAN VILLAGE

Laboratory Demographics

  • CLIA Code: 36D2016488
  • Facility Name: CSJI TIFFIN - INC DBA FRIEDMAN VILLAGE
  • Facility Address: 175 ST FRANCIS AVENUE
    TIFFIN, OH
    ZIP 44883
  • Facility Phone: 419 447-2723
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA LEVENGOOD
  • NPI Number: 1639734916
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2016488
LAB Type Assisted Living Facility
Facility Name CSJI TIFFIN - INC DBA FRIEDMAN VILLAGE
Street 175 ST FRANCIS AVENUE
City TIFFIN
State OH
ZIP 44883
Phone 419 447-2723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Assisted Living Facility
Lab Director LISA LEVENGOOD

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