36D0341041 CLIA NUMBER - PEBBLE CREEK HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0341041
  • Facility Name: PEBBLE CREEK HEALTHCARE CENTER
  • Facility Address: 670 JARVIS RD
    AKRON, OH
    ZIP 44319
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEAN DEPERRO
  • NPI Number: 1366433690
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0341041
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PEBBLE CREEK HEALTHCARE CENTER
Street 670 JARVIS RD
City AKRON
State OH
ZIP 44319
Phone 513 530-1808
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 DEAN DEPERRO

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