36D2284394 CLIA NUMBER - WILLOW BROOK CHRISTIAN HOME

Laboratory Demographics

  • CLIA Code: 36D2284394
  • Facility Name: WILLOW BROOK CHRISTIAN HOME
  • Facility Address: 55 LAZELLE RD
    COLUMBUS, OH
    ZIP 43235
  • Facility Phone: 614 896-3429
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARY JANE JORDAN
  • NPI Number: 1346210515
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2284394
LAB Type Assisted Living Facility
Facility Name WILLOW BROOK CHRISTIAN HOME
Street 55 LAZELLE RD
City COLUMBUS
State OH
ZIP 43235
Phone 614 896-3429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Assisted Living Facility
Lab Director MARY JANE JORDAN

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