36D2125609 CLIA NUMBER - ENCOMPASS HEALTH REHABILITATION HOSPITAL OF WESTERVILLE, LLC DBA MOUNT CARMEL

Laboratory Demographics

  • CLIA Code: 36D2125609
  • Facility Name: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF WESTERVILLE, LLC DBA MOUNT CARMEL
  • Facility Address: 597 EXECUTIVE CAMPUS DRIVE
    WESTERVILLE, OH
    ZIP 43082
  • Facility Phone: 614 392-3400
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. FANOUS
  • NPI Number: 1649764317
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2125609
LAB Type Hospital
Facility Name ENCOMPASS HEALTH REHABILITATION HOSPITAL OF WESTERVILLE, LLC DBA MOUNT CARMEL
Street 597 EXECUTIVE CAMPUS DRIVE
City WESTERVILLE
State OH
ZIP 43082
Phone 614 392-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Hospital
Lab Director MATTHEW J. FANOUS

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