36D2115215 CLIA NUMBER - HARNER ROAD HOME

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CLIA Record

Field Name Field Value
CLIA Number 36D2115215
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name HARNER ROAD HOME
Street 8800 HARNER ROAD
City ATHENS
State OH
ZIP 45701
Phone 740 541-4224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director JAY R. MCDOUGAL

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