36D2237793 CLIA NUMBER - ADENA HEALTH CENTER - BRIDGE STREET

Laboratory Demographics

CLIA Number: 36D2237793

Facility Name: ADENA HEALTH CENTER - BRIDGE STREET

Facility Address:
1450 N BRIDGE STREET
CHILLICOTHE, OH
ZIP 45601
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Facility Phone Number: 740 779-5630

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1205203395

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2237793
LAB Type	Hospital
Facility Name	ADENA HEALTH CENTER - BRIDGE STREET
Street	1450 N BRIDGE STREET
City	CHILLICOTHE
State	OH
ZIP	45601
Phone	740 779-5630
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024