36D0339064 CLIA NUMBER - BRADLEY ROAD NURSING HOME INC

Laboratory Demographics

  • CLIA Code: 36D0339064
  • Facility Name: BRADLEY ROAD NURSING HOME INC
  • Facility Address: 605 BRADLEY ROAD
    BAY VILLAGE, OH
    ZIP 44140
  • Facility Phone: 216 871-3474
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: IVA L. NEEL
  • NPI Number: 1720133226
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0339064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRADLEY ROAD NURSING HOME INC
Street 605 BRADLEY ROAD
City BAY VILLAGE
State OH
ZIP 44140
Phone 216 871-3474
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 IVA L. NEEL

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