36D2195001 CLIA NUMBER - OHIO LIVING DOROTHY LOVE

Laboratory Demographics

  • CLIA Code: 36D2195001
  • Facility Name: OHIO LIVING DOROTHY LOVE
  • Facility Address: 3003 WEST CISCO ROAD
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 498-2391
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA ATWOOD
  • NPI Number: 1619178357
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 36D2195001
LAB Type Assisted Living Facility
Facility Name OHIO LIVING DOROTHY LOVE
Street 3003 WEST CISCO ROAD
City SIDNEY
State OH
ZIP 45365
Phone 937 498-2391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Assisted Living Facility
Lab Director PATRICIA ATWOOD

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