36D0715481 CLIA NUMBER - AVIS LEASING C, LLC DBA HANOVER HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0715481
  • Facility Name: AVIS LEASING C, LLC DBA HANOVER HEALTHCARE CENTER
  • Facility Address: 435 AVIS AVENUE NORTHWEST
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT HOFFMAN
  • NPI Number: 1326029836
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0715481
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIS LEASING C, LLC DBA HANOVER HEALTHCARE CENTER
Street 435 AVIS AVENUE NORTHWEST
City MASSILLON
State OH
ZIP 44646
Phone 513 530-1808
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 SCOTT HOFFMAN

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