36D2287502 CLIA NUMBER - MIDWEST HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 36D2287502
  • Facility Name: MIDWEST HEALTH SERVICES
  • Facility Address: 5650 TOWNSHIP ROAD 332
    MILLERSBURG, OH
    ZIP 44654
  • Facility Phone: 330 832-9582
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SARA MARTY
  • NPI Number: 1033210844
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2287502
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MIDWEST HEALTH SERVICES
Street 5650 TOWNSHIP ROAD 332
City MILLERSBURG
State OH
ZIP 44654
Phone 330 832-9582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SARA MARTY

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