36D2148445 CLIA NUMBER - XENIA HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 36D2148445
  • Facility Name: XENIA HEALTH AND REHAB
  • Facility Address: 126 WILSON DRIVE
    XENIA, OH
    ZIP 45385
  • Facility Phone: 937 376-2121
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARYANNE LAVIGNE
  • NPI Number: 1801383666
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2148445
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name XENIA HEALTH AND REHAB
Street 126 WILSON DRIVE
City XENIA
State OH
ZIP 45385
Phone 937 376-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARYANNE LAVIGNE

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