36D1041772 CLIA NUMBER - BEREA LAKE TOWERS, LLC DBA GENERATIONS SENIOR LIVING BEREA

Laboratory Demographics

  • CLIA Code: 36D1041772
  • Facility Name: BEREA LAKE TOWERS, LLC DBA GENERATIONS SENIOR LIVING BEREA
  • Facility Address: 4 BEREA COMMONS
    BEREA, OH
    ZIP 44017
  • Facility Phone: 440 243-9050
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NICOLE WILLIS
  • NPI Number: 1225160096
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1041772
LAB Type Practitioner Other
Facility Name BEREA LAKE TOWERS, LLC DBA GENERATIONS SENIOR LIVING BEREA
Street 4 BEREA COMMONS
City BEREA
State OH
ZIP 44017
Phone 440 243-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Practitioner Other
Lab Director NICOLE WILLIS

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