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36D0882028 CLIA NUMBER - INTERIM HEALTHCARE OF AKRON/CANTON INC

Laboratory Demographics

CLIA Number: 36D0882028

Facility Name: INTERIM HEALTHCARE OF AKRON/CANTON INC

Facility Address:
3480 W MARKET ST STE 105/106
AKRON, OH
ZIP 44333
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Facility Phone Number: 330 836-5571

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1558394247

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 36D0882028
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE OF AKRON/CANTON INC
Street 3480 W MARKET ST STE 105/106
City AKRON
State OH
ZIP 44333
Phone 330 836-5571
CertificateType 4
CertificateEffectiveDate 1/26/2024
CertificateExpirationDate 1/25/2026
FacilityType Waiver

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