36D2007419 CLIA NUMBER - PARK VISTA RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 36D2007419
  • Facility Name: PARK VISTA RETIREMENT COMMUNITY
  • Facility Address: 1216 FIFTH AVENUE
    YOUNGSTOWN, OH
    ZIP 44504
  • Facility Phone: 330 746-2944
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMEH YOUSSEF
  • NPI Number: 1235739459
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2007419
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK VISTA RETIREMENT COMMUNITY
Street 1216 FIFTH AVENUE
City YOUNGSTOWN
State OH
ZIP 44504
Phone 330 746-2944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAMEH YOUSSEF

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