36D2016090 CLIA NUMBER - LEVY GARDENS

Laboratory Demographics

  • CLIA Code: 36D2016090
  • Facility Name: LEVY GARDENS
  • Facility Address: 584 GRANADA AVENUE
    YOUNGSTOWN, OH
    ZIP 44505
  • Facility Phone: 330 746-3570
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KELLY ROSE
  • NPI Number: 1356468946
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2016090
LAB Type Assisted Living Facility
Facility Name LEVY GARDENS
Street 584 GRANADA AVENUE
City YOUNGSTOWN
State OH
ZIP 44505
Phone 330 746-3570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Assisted Living Facility
Lab Director KELLY ROSE

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