36D2330095 CLIA NUMBER - FHS BEAVERCREEK INC DBA OVERBROOK LANDING HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 36D2330095
  • Facility Name: FHS BEAVERCREEK INC DBA OVERBROOK LANDING HEALTH & REHAB
  • Facility Address: 1640 OVERBROOK BLVD
    XENIA, OH
    ZIP 45385
  • Facility Phone: 937 619-6002
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMANTHA CLARK
  • NPI Number: 1790586147
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2330095
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FHS BEAVERCREEK INC DBA OVERBROOK LANDING HEALTH & REHAB
Street 1640 OVERBROOK BLVD
City XENIA
State OH
ZIP 45385
Phone 937 619-6002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAMANTHA CLARK

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