36D1082909 CLIA NUMBER - AMERICAN EAGLE NEWARK LLC, DBA HEARTH BROOK

Laboratory Demographics

  • CLIA Code: 36D1082909
  • Facility Name: AMERICAN EAGLE NEWARK LLC, DBA HEARTH BROOK
  • Facility Address: 331 GOOSEPOND ROAD
    NEWARK, OH
    ZIP 43055
  • Facility Phone: 740 366-0005
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER BICKLE
  • NPI Number: 1821568866
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1082909
LAB Type Assisted Living Facility
Facility Name AMERICAN EAGLE NEWARK LLC, DBA HEARTH BROOK
Street 331 GOOSEPOND ROAD
City NEWARK
State OH
ZIP 43055
Phone 740 366-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER BICKLE

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