36D2236681 CLIA NUMBER - JENEROUS HYDRATION LLC

Laboratory Demographics

  • CLIA Code: 36D2236681
  • Facility Name: JENEROUS HYDRATION LLC
  • Facility Address: 1518 SHARON VALLEY RD SE
    NEW PHILADELPHIA, OH
    ZIP 44663
  • Facility Phone: 330 432-1045
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIFER I. RUMMELL
  • NPI Number: 1336817519
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2236681
LAB Type Practitioner Other
Facility Name JENEROUS HYDRATION LLC
Street 1518 SHARON VALLEY RD SE
City NEW PHILADELPHIA
State OH
ZIP 44663
Phone 330 432-1045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Practitioner Other
Lab Director JENNIFER I. RUMMELL

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