36D0343628 CLIA NUMBER - BUCKEYE FOREST AT CANTON, LLC

Laboratory Demographics

  • CLIA Code: 36D0343628
  • Facility Name: BUCKEYE FOREST AT CANTON, LLC
  • Facility Address: 5005 HIGBEE AVENUE NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: (330) 492-7835
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN WAGNER
  • NPI Number: 1124783022
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0343628
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BUCKEYE FOREST AT CANTON, LLC
Street 5005 HIGBEE AVENUE NW
City CANTON
State OH
ZIP 44718
Phone 3304927835
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 WAGNER

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This page was last updated on: 5/18/2026