36D0670280 CLIA NUMBER - DIVERSICARE OF AVON LLC DBA AVON PLACE

Laboratory Demographics

  • CLIA Code: 36D0670280
  • Facility Name: DIVERSICARE OF AVON LLC DBA AVON PLACE
  • Facility Address: 32900 DETROIT ROAD
    AVON, OH
    ZIP 44011
  • Facility Phone: 440 937-6201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIANE GRAHAM
  • NPI Number: 1891102760
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0670280
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DIVERSICARE OF AVON LLC DBA AVON PLACE
Street 32900 DETROIT ROAD
City AVON
State OH
ZIP 44011
Phone 440 937-6201
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 DIANE GRAHAM

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This page was last updated on: 6/4/2025