36D2081062 CLIA NUMBER - VINNEY HOSPICE OF MONTEFIORE

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Laboratory Demographics

CLIA Number: 36D2081062

Facility Name: VINNEY HOSPICE OF MONTEFIORE

Facility Address:
ONE DAVID MYERS PKWY
BEACHWOOD, OH
ZIP 44122
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Facility Phone Number: 216 910-2650

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1205981321

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	36D2081062
LAB Type	Hospice
Facility Name	VINNEY HOSPICE OF MONTEFIORE
Street	ONE DAVID MYERS PKWY
City	BEACHWOOD
State	OH
ZIP	44122
Phone	216 910-2650
CertificateType	4
CertificateEffectiveDate	7/18/2022
CertificateExpirationDate	7/17/2024
FacilityType	Waiver

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