36D2201950 CLIA NUMBER - BROADFIELD CARE CENTER

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Field Name	Field Value
CLIA Number	36D2201950
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	BROADFIELD CARE CENTER
Street	7927 MIDDLE RIDGE RD
City	MADISON
State	OH
ZIP	44057
Phone	440 466-3702
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/24/2024
Certificate Expiration Date	11/23/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	SUE K. REINKE

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