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

Laboratory Demographics

CLIA Number: 36D1041772

Facility Name: BEREA LAKE TOWERS, LLC DBA GENERATIONS SENIOR LIVING BEREA

Facility Address:
4 BEREA COMMONS
BEREA, OH
ZIP 44017
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Facility Phone Number: 440 243-9050

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1225160096

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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
CertificateType	4
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	Waiver

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