36D2210103 CLIA NUMBER - GARDENS AT ST HENRY, THE

Laboratory Demographics

  • CLIA Code: 36D2210103
  • Facility Name: GARDENS AT ST HENRY, THE
  • Facility Address: 522 WESTERN AVENUE
    ST HENRY, OH
    ZIP 45883
  • Facility Phone: 419 678-9800
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JULIE KLEIN
  • NPI Number: 1821614231
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2210103
LAB Type Assisted Living Facility
Facility Name GARDENS AT ST HENRY, THE
Street 522 WESTERN AVENUE
City ST HENRY
State OH
ZIP 45883
Phone 419 678-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Assisted Living Facility
Lab Director JULIE KLEIN

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This page was last updated on: 6/4/2025