CLIA Code Details

Clinical Laboratory Code : 36d0685568

HATTIE LARLHAM FOUNDATION (INTERMEDIATE CARE FACILITY FOR MENTALLY RETARDED)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 36D0685568
Clinical laboratory number
Lab Name HATTIE LARLHAM FOUNDATION
Laboratory Name
Lab Type Intermediate Care Facility for Mentally Retarded
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 330-274-8248
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 9772 DIAGONAL ROAD
Primary location adress line
City MANTUA
Primary location city name
State OH
Primary location state name
Zip 44255-9128
Primary location postal code

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