36D2113667 CLIA NUMBER - NICHOLAS LANDRY DO INC

Laboratory Demographics

  • CLIA Code: 36D2113667
  • Facility Name: NICHOLAS LANDRY DO INC
  • Facility Address: 407 SOUTH THIRD STREET
    IRONTON, OH
    ZIP 45638
  • Facility Phone: 740 534-1200
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NICHOLAS LANDRY
  • NPI Number: 1891378469
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 36D2113667
LAB Type Comp. Outpatient Rehab Facility
Facility Name NICHOLAS LANDRY DO INC
Street 407 SOUTH THIRD STREET
City IRONTON
State OH
ZIP 45638
Phone 740 534-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director NICHOLAS LANDRY

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