36D2207767 CLIA NUMBER - JEFFERSON COUNTY BOARD OF DD SHAFFER PLAZA

Laboratory Demographics

  • CLIA Code: 36D2207767
  • Facility Name: JEFFERSON COUNTY BOARD OF DD SHAFFER PLAZA
  • Facility Address: 256 JOHN SCOTT HIGHWAY
    STEUBENVILLE, OH
    ZIP 43952
  • Facility Phone: 740 264-7176
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SHELLEY BENNETT-CRISS
  • NPI Number: 1063539997
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2207767
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name JEFFERSON COUNTY BOARD OF DD SHAFFER PLAZA
Street 256 JOHN SCOTT HIGHWAY
City STEUBENVILLE
State OH
ZIP 43952
Phone 740 264-7176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHELLEY BENNETT-CRISS

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