36D2031472 CLIA NUMBER - SELECTIVE NURSING LLC

Laboratory Demographics

  • CLIA Code: 36D2031472
  • Facility Name: SELECTIVE NURSING LLC
  • Facility Address: 2107 JERGENS RD
    DAYTON, OH
    ZIP 45404
  • Facility Phone: 937 260-4250
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RHONDA L. DEBORD
  • NPI Number: 1942662325
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2031472
LAB Type Home Health Agency
Facility Name SELECTIVE NURSING LLC
Street 2107 JERGENS RD
City DAYTON
State OH
ZIP 45404
Phone 937 260-4250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Home Health Agency
Lab Director RHONDA L. DEBORD

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