Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
36D2207183
|
|
Clinical laboratory number
|
|
Lab Name
|
HATTIE LARLHAM BOETTLER HOUSE
|
|
Laboratory Name
|
|
Lab Type
|
Intermediate Care Facility for Mentally Retarded
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
234-706-3696
|
|
Laboratory telephone number
|
|
Fax
|
440-232-2730
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1180 BOETTLER ROAD
|
|
Primary location adress line
|
|
City
|
UNIONTOWN
|
|
Primary location city name
|
|
State
|
OH
|
|
Primary location state name
|
|
Zip
|
44685
|
|
Primary location postal code
|