36D2237628 CLIA NUMBER - LIGHTHOUSE YOUTH CENTER

Laboratory Demographics

  • CLIA Code: 36D2237628
  • Facility Name: LIGHTHOUSE YOUTH CENTER
  • Facility Address: 1071 TONG HOLLOW RD PO BOX 586
    BAINBRIDGE, OH
    ZIP 45612
  • Facility Phone: 740 634-3094
  • Facility Type: Other - RESIDENTIAL CORRECTIONAL
  • Facility Type: Waiver
  • Lab Director: JANET S. PRIEST
  • NPI Number: 1053389841
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2237628
LAB Type Other - RESIDENTIAL CORRECTIONAL
Facility Name LIGHTHOUSE YOUTH CENTER
Street 1071 TONG HOLLOW RD PO BOX 586
City BAINBRIDGE
State OH
ZIP 45612
Phone 740 634-3094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Other - RESIDENTIAL CORRECTIONAL
Lab Director JANET S. PRIEST

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