36D2273945 CLIA NUMBER - OAK HAVEN RESIDENTIAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 36D2273945
  • Facility Name: OAK HAVEN RESIDENTIAL CARE CENTER
  • Facility Address: 152 MAIN STREET
    CLOVERDALE, OH
    ZIP 45827
  • Facility Phone: 419 488-2310
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER KORTORAX
  • NPI Number: 1780280560
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2273945
LAB Type Assisted Living Facility
Facility Name OAK HAVEN RESIDENTIAL CARE CENTER
Street 152 MAIN STREET
City CLOVERDALE
State OH
ZIP 45827
Phone 419 488-2310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER KORTORAX

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