36D2148449 CLIA NUMBER - JAMESTOWN PLACE HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 36D2148449
  • Facility Name: JAMESTOWN PLACE HEALTH AND REHAB
  • Facility Address: 4960 OLD US 35
    JAMESTOWN, OH
    ZIP 45335
  • Facility Phone: 937 675-3311
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARYANNE LAVIGNE
  • NPI Number: 1962999516
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2148449
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JAMESTOWN PLACE HEALTH AND REHAB
Street 4960 OLD US 35
City JAMESTOWN
State OH
ZIP 45335
Phone 937 675-3311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARYANNE LAVIGNE

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