36D0945458 CLIA NUMBER - BROOKDALE WICKLIFFE

Laboratory Demographics

  • CLIA Code: 36D0945458
  • Facility Name: BROOKDALE WICKLIFFE
  • Facility Address: 30630 RIDGE ROAD
    WICKLIFFE, OH
    ZIP 44092
  • Facility Phone: 440 943-2050
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARNI CHAPPELL
  • NPI Number: 1063736213
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0945458
LAB Type Assisted Living Facility
Facility Name BROOKDALE WICKLIFFE
Street 30630 RIDGE ROAD
City WICKLIFFE
State OH
ZIP 44092
Phone 440 943-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Assisted Living Facility
Lab Director MARNI CHAPPELL

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