36D2167423 CLIA NUMBER - OUR HOME FAIRBORN OP LLC

Laboratory Demographics

  • CLIA Code: 36D2167423
  • Facility Name: OUR HOME FAIRBORN OP LLC
  • Facility Address: 7800 DAYTON SPRINGFIELD ROAD
    FAIRBORN, OH
    ZIP 45324
  • Facility Phone: 614 439-3218
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA EVANS
  • NPI Number: 1861250565
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2167423
LAB Type Assisted Living Facility
Facility Name OUR HOME FAIRBORN OP LLC
Street 7800 DAYTON SPRINGFIELD ROAD
City FAIRBORN
State OH
ZIP 45324
Phone 614 439-3218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Assisted Living Facility
Lab Director JESSICA EVANS

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