36D2153149 CLIA NUMBER - ADENA HEALTH AND WELLNESS - YUSA

Laboratory Demographics

CLIA Number: 36D2153149

Facility Name: ADENA HEALTH AND WELLNESS - YUSA

Facility Address:
151 JAMISON ROAD SW
WASHINGTON COURT HOUSE, OH
ZIP 43160
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Facility Phone Number: 740 335-0335

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013220805

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2153149
LAB Type	Physician Office
Facility Name	ADENA HEALTH AND WELLNESS - YUSA
Street	151 JAMISON ROAD SW
City	WASHINGTON COURT HOUSE
State	OH
ZIP	43160
Phone	740 335-0335
CertificateType	4
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024