36D0343445 CLIA NUMBER - BETHANY NURSING HOME

Laboratory Demographics

  • CLIA Code: 36D0343445
  • Facility Name: BETHANY NURSING HOME
  • Facility Address: 626 34TH ST NW
    CANTON, OH
    ZIP 44709
  • Facility Phone: 330 492-7171
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN F. BAUM
  • NPI Number: 1023118114
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0343445
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BETHANY NURSING HOME
Street 626 34TH ST NW
City CANTON
State OH
ZIP 44709
Phone 330 492-7171
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 JOHN F. BAUM

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