36D0714028 CLIA NUMBER - CANTON CHRISTIAN HOME

Laboratory Demographics

  • CLIA Code: 36D0714028
  • Facility Name: CANTON CHRISTIAN HOME
  • Facility Address: 2550 CLEVELAND AVE NW
    CANTON, OH
    ZIP 44709
  • Facility Phone: 330 456-0004
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KELLY R. SCHAUB
  • NPI Number: 1982605507
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0714028
LAB Type Assisted Living Facility
Facility Name CANTON CHRISTIAN HOME
Street 2550 CLEVELAND AVE NW
City CANTON
State OH
ZIP 44709
Phone 330 456-0004
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 Assisted Living Facility
Lab Director KELLY R. SCHAUB

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