36D2032164 CLIA NUMBER - STATE HEALTH CARE LTD

Laboratory Demographics

  • CLIA Code: 36D2032164
  • Facility Name: STATE HEALTH CARE LTD
  • Facility Address: 201 RIVERSIDE DR STE 2-E
    DAYTON, OH
    ZIP 45405
  • Facility Phone: 937 222-2537
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MOHAMED W. BARRE
  • NPI Number: 1093034340
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2032164
LAB Type Home Health Agency
Facility Name STATE HEALTH CARE LTD
Street 201 RIVERSIDE DR STE 2-E
City DAYTON
State OH
ZIP 45405
Phone 937 222-2537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Home Health Agency
Lab Director MOHAMED W. BARRE

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