36D0341034 CLIA NUMBER - ST LUKE LUTHERAN COMMUNITY PORTAGE LAKES

Laboratory Demographics

CLIA Number: 36D0341034

Facility Name: ST LUKE LUTHERAN COMMUNITY PORTAGE LAKES

Facility Address:
615 LATHAM LANE
AKRON, OH
ZIP 44319
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Facility Phone Number: 330 644-3914

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1629665146

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	36D0341034
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ST LUKE LUTHERAN COMMUNITY PORTAGE LAKES
Street	615 LATHAM LANE
City	AKRON
State	OH
ZIP	44319
Phone	330 644-3914
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024