36D0940186 CLIA NUMBER - BROOKDALE BATH

Laboratory Demographics

CLIA Number: 36D0940186

Facility Name: BROOKDALE BATH

Facility Address:
101 NORTH CLEVELAND-MASSILON ROAD
AKRON, OH
ZIP 44333
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Facility Phone Number: 330 666-7011

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1639441686

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	36D0940186
LAB Type	Other
Facility Name	BROOKDALE BATH
Street	101 NORTH CLEVELAND-MASSILON ROAD
City	AKRON
State	OH
ZIP	44333
Phone	330 666-7011
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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