36D1026877 CLIA NUMBER - CONCORDIA AT SUMNER

Laboratory Demographics

CLIA Number: 36D1026877

Facility Name: CONCORDIA AT SUMNER

Facility Address:
970 SUMNER PARKWAY
COPLEY, OH
ZIP 44321
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Facility Phone Number: 330 664-1000

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1831640390

Taxonomy: 261QR0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D1026877
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	CONCORDIA AT SUMNER
Street	970 SUMNER PARKWAY
City	COPLEY
State	OH
ZIP	44321
Phone	330 664-1000
CertificateType	4
CertificateEffectiveDate	2/10/2024
CertificateExpirationDate	2/9/2026
FacilityType	Waiver

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