36D2068367 CLIA NUMBER - CARLISLE PLACE

Laboratory Demographics

  • CLIA Code: 36D2068367
  • Facility Name: CARLISLE PLACE
  • Facility Address: 1721 WHETSTONE STREET
    BUCYRUS, OH
    ZIP 44820
  • Facility Phone: 419 562-4627
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMI DOYLE
  • NPI Number: 1427245737
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2068367
LAB Type Assisted Living Facility
Facility Name CARLISLE PLACE
Street 1721 WHETSTONE STREET
City BUCYRUS
State OH
ZIP 44820
Phone 419 562-4627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Assisted Living Facility
Lab Director TAMI DOYLE

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