36D2202677 CLIA NUMBER - UCM RESIDENTIAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D2202677
  • Facility Name: UCM RESIDENTIAL SERVICES
  • Facility Address: 400 SOUTH MELVIN-ELEY AVENUE
    UNION CITY, OH
    ZIP 45390
  • Facility Phone: 937 968-6265
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MORGAN S. CRUTCHER
  • NPI Number: 1750467510
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 36D2202677
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name UCM RESIDENTIAL SERVICES
Street 400 SOUTH MELVIN-ELEY AVENUE
City UNION CITY
State OH
ZIP 45390
Phone 937 968-6265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MORGAN S. CRUTCHER

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