36D2059824 CLIA NUMBER - ST CLARE COMMONS

Laboratory Demographics

  • CLIA Code: 36D2059824
  • Facility Name: ST CLARE COMMONS
  • Facility Address: 12469 FIVE POINT RD
    PERRYSBURG, OH
    ZIP 43551
  • Facility Phone: 419 250-9979
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHAWN T. LITTEN
  • NPI Number: 1619213022
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2059824
LAB Type Assisted Living Facility
Facility Name ST CLARE COMMONS
Street 12469 FIVE POINT RD
City PERRYSBURG
State OH
ZIP 43551
Phone 419 250-9979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Assisted Living Facility
Lab Director SHAWN T. LITTEN

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