36D2147475 CLIA NUMBER - ENCORE CARE ASSOCIATION LTD

Laboratory Demographics

  • CLIA Code: 36D2147475
  • Facility Name: ENCORE CARE ASSOCIATION LTD
  • Facility Address: 190 E SPRING VALLEY PIKE C
    CENTERVILLE, OH
    ZIP 45458
  • Facility Phone: 937 504-2480
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TAMARA J. EVANS
  • NPI Number: 1578242947
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 36D2147475
LAB Type School/Student Health Service
Facility Name ENCORE CARE ASSOCIATION LTD
Street 190 E SPRING VALLEY PIKE C
City CENTERVILLE
State OH
ZIP 45458
Phone 937 504-2480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type School/Student Health Service
Lab Director TAMARA J. EVANS

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