36D2328367 CLIA NUMBER - CARDINAL REHAB, LLC

Laboratory Demographics

  • CLIA Code: 36D2328367
  • Facility Name: CARDINAL REHAB, LLC
  • Facility Address: 24 HILLSIDE DRIVE
    MILLERSBURG, OH
    ZIP 44654
  • Facility Phone: 330 936-3091
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANGELA WILLARD
  • NPI Number: 1043104821
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2328367
LAB Type Mobile Laboratory
Facility Name CARDINAL REHAB, LLC
Street 24 HILLSIDE DRIVE
City MILLERSBURG
State OH
ZIP 44654
Phone 330 936-3091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Mobile Laboratory
Lab Director ANGELA WILLARD

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