36D2148446 CLIA NUMBER - ENGLEWOOD HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 36D2148446
  • Facility Name: ENGLEWOOD HEALTH AND REHAB
  • Facility Address: 425 LAURICELLA COURT PO BOX 340
    ENGLEWOOD, OH
    ZIP 45322
  • Facility Phone: 937 836-5143
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DONNA GARZA
  • NPI Number: 1740431626
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2148446
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ENGLEWOOD HEALTH AND REHAB
Street 425 LAURICELLA COURT PO BOX 340
City ENGLEWOOD
State OH
ZIP 45322
Phone 937 836-5143
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 DONNA GARZA

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