36D2176219 CLIA NUMBER - OHIO HILLS HEALTH CENTER CALDWELL

Laboratory Demographics

CLIA Number: 36D2176219

Facility Name: OHIO HILLS HEALTH CENTER CALDWELL

Facility Address:
44069 MARIETTA RD
CALDWELL, OH
ZIP 43724
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Facility Phone Number: 740 239-6447

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1740821982

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 36D2176219
LAB Type Federally Qualified Health Center
Facility Name OHIO HILLS HEALTH CENTER CALDWELL
Street 44069 MARIETTA RD
City CALDWELL
State OH
ZIP 43724
Phone 740 239-6447
CertificateType 4
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Waiver

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