36D0861210 CLIA NUMBER - MAIN STREET CARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0861210
  • Facility Name: MAIN STREET CARE CENTER
  • Facility Address: 500 COMMUNITY DRIVE
    AVON LAKE, OH
    ZIP 44012
  • Facility Phone: 440 930-6600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARAH PARADIS
  • NPI Number: 1780861682
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0861210
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAIN STREET CARE CENTER
Street 500 COMMUNITY DRIVE
City AVON LAKE
State OH
ZIP 44012
Phone 440 930-6600
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 SARAH PARADIS

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