36D0724824 CLIA NUMBER - JACKSON RIDGE REHABILITATION AND CARE

Laboratory Demographics

  • CLIA Code: 36D0724824
  • Facility Name: JACKSON RIDGE REHABILITATION AND CARE
  • Facility Address: 7055 HIGH MILL AVE NW
    CANAL FULTON, OH
    ZIP 44614
  • Facility Phone: 330 854-4545
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIELLE BICKER
  • NPI Number: 1366796161
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0724824
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JACKSON RIDGE REHABILITATION AND CARE
Street 7055 HIGH MILL AVE NW
City CANAL FULTON
State OH
ZIP 44614
Phone 330 854-4545
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 DANIELLE BICKER

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