36D2121396 CLIA NUMBER - DECOACH REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 36D2121396
  • Facility Name: DECOACH REHABILITATION CENTER
  • Facility Address: 6570 SOSNA DRIVE
    FAIRFIELD, OH
    ZIP 45014
  • Facility Phone: 513 942-4673
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KIM BARROWS
  • NPI Number: 1578037552
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2121396
LAB Type Comp. Outpatient Rehab Facility
Facility Name DECOACH REHABILITATION CENTER
Street 6570 SOSNA DRIVE
City FAIRFIELD
State OH
ZIP 45014
Phone 513 942-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director KIM BARROWS

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