36D0334307 CLIA NUMBER - AUTUMN AEGIS RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 36D0334307
  • Facility Name: AUTUMN AEGIS RETIREMENT COMMUNITY
  • Facility Address: 1130 TOWER BOULEVARD SUITE A
    LORAIN, OH
    ZIP 44052
  • Facility Phone: 440 282-6768
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EREN ITRI MD
  • NPI Number: 1639169493
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0334307
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN AEGIS RETIREMENT COMMUNITY
Street 1130 TOWER BOULEVARD SUITE A
City LORAIN
State OH
ZIP 44052
Phone 440 282-6768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EREN ITRI MD

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