36D0903092 CLIA NUMBER - HOMESTEAD I DBA GRAND RIVER HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 36D0903092
  • Facility Name: HOMESTEAD I DBA GRAND RIVER HEALTH AND REHAB
  • Facility Address: 1515 BROOKSTONE BLVD
    PAINESVILLE, OH
    ZIP 44077
  • Facility Phone: 440 357-6181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PRAKASH YAKKUNDI MD
  • NPI Number: 1598060220
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0903092
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOMESTEAD I DBA GRAND RIVER HEALTH AND REHAB
Street 1515 BROOKSTONE BLVD
City PAINESVILLE
State OH
ZIP 44077
Phone 440 357-6181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PRAKASH YAKKUNDI MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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