36D0965877 CLIA NUMBER - VILLA AT THE LAKE,THE

Laboratory Demographics

  • CLIA Code: 36D0965877
  • Facility Name: VILLA AT THE LAKE,THE
  • Facility Address: 48 PARRISH ROAD
    CONNEAUT, OH
    ZIP 44030
  • Facility Phone: 440 599-1999
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: WILLA G. HUMMER
  • NPI Number: 1528240066
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0965877
LAB Type Other
Facility Name VILLA AT THE LAKE,THE
Street 48 PARRISH ROAD
City CONNEAUT
State OH
ZIP 44030
Phone 440 599-1999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Other
Lab Director WILLA G. HUMMER

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