36D2093345 CLIA NUMBER - PROGRESSIVE HOSPICE LLC DBA SERENITY HOSPICE

Laboratory Demographics

  • CLIA Code: 36D2093345
  • Facility Name: PROGRESSIVE HOSPICE LLC DBA SERENITY HOSPICE
  • Facility Address: 4491 DARROW RD SUITE 1
    STOW, OH
    ZIP 44224
  • Facility Phone: 330 686-9900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TRICIA JACOBSEN
  • NPI Number: 1093116519
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2093345
LAB Type Hospice
Facility Name PROGRESSIVE HOSPICE LLC DBA SERENITY HOSPICE
Street 4491 DARROW RD SUITE 1
City STOW
State OH
ZIP 44224
Phone 330 686-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Hospice
Lab Director TRICIA JACOBSEN

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