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36D0876809 CLIA NUMBER - WESTERN RESERVE ACADEMY HEALTH CENTER

Laboratory Demographics

CLIA Number: 36D0876809

Facility Name: WESTERN RESERVE ACADEMY HEALTH CENTER

Facility Address:
20 PROSPECT ST BURTON D MORGAN HALL
HUDSON, OH
ZIP 44236
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Facility Phone Number: 330 650-4400

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1356883474

Taxonomy: 133V00000X - Dietitian, Registered
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

CLIA Record

Field Name Field Value
CLIA Number 36D0876809
LAB Type School/Student Health Service
Facility Name WESTERN RESERVE ACADEMY HEALTH CENTER
Street 20 PROSPECT ST BURTON D MORGAN HALL
City HUDSON
State OH
ZIP 44236
Phone 330 650-4400
CertificateType 4
CertificateEffectiveDate 10/19/2023
CertificateExpirationDate 10/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024