36D0892816 CLIA NUMBER - PINE GROVE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0892816
  • Facility Name: PINE GROVE HEALTHCARE CENTER
  • Facility Address: 840 SHERMAN STREET
    GENEVA, OH
    ZIP 44041
  • Facility Phone: 440 415-0502
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAMELA BELMONTE
  • NPI Number: 1538658489
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0892816
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE GROVE HEALTHCARE CENTER
Street 840 SHERMAN STREET
City GENEVA
State OH
ZIP 44041
Phone 440 415-0502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAMELA BELMONTE

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