36D0710004 CLIA NUMBER - ROSE LANE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 36D0710004
  • Facility Name: ROSE LANE HEALTH CENTER
  • Facility Address: 5425 HIGH MILL AVE NW
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 216 833-3174
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN E. CONNELLY
  • NPI Number: 1386643948
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0710004
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSE LANE HEALTH CENTER
Street 5425 HIGH MILL AVE NW
City MASSILLON
State OH
ZIP 44646
Phone 216 833-3174
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 STEPHEN E. CONNELLY

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