36D2214754 CLIA NUMBER - RESCARE - 19TH ST

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Field Name	Field Value
CLIA Number	36D2214754
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RESCARE - 19TH ST
Street	115 19TH ST S
City	MASSILLON
State	OH
ZIP	44646
Phone	513 460-1708
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/24/2025
Certificate Expiration Date	2/23/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	FELICIA M. HALL

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