36D1018811 CLIA NUMBER - BROADWAY CREEK SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 36D1018811
  • Facility Name: BROADWAY CREEK SENIOR LIVING
  • Facility Address: 1046 N JEFFERSON STREET
    MEDINA, OH
    ZIP 44256
  • Facility Phone: 330 764-3877
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DAWN NERO
  • NPI Number: 1841799012
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1018811
LAB Type Assisted Living Facility
Facility Name BROADWAY CREEK SENIOR LIVING
Street 1046 N JEFFERSON STREET
City MEDINA
State OH
ZIP 44256
Phone 330 764-3877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Assisted Living Facility
Lab Director DAWN NERO

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