36D2039199 CLIA NUMBER - BAYVIEW HOSPICE LLC DBA O'NEILL HEALTHCARE HOSPICE

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Laboratory Demographics

CLIA Number: 36D2039199

Facility Name: BAYVIEW HOSPICE LLC DBA O'NEILL HEALTHCARE HOSPICE

Facility Address:
605 BRADLEY RD
BAY VILLAGE, OH
ZIP 44140
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Facility Phone Number: 440 328-8141

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1447525423

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	36D2039199
LAB Type	Hospice
Facility Name	BAYVIEW HOSPICE LLC DBA O'NEILL HEALTHCARE HOSPICE
Street	605 BRADLEY RD
City	BAY VILLAGE
State	OH
ZIP	44140
Phone	440 328-8141
CertificateType	4
CertificateEffectiveDate	4/4/2024
CertificateExpirationDate	4/3/2026
FacilityType	Waiver

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