36D2093397 CLIA NUMBER - KOLBE II LEASING CO LLC DBA CLEARVISTA HEALTH AND WELLNESS

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Laboratory Demographics

CLIA Number: 36D2093397

Facility Name: KOLBE II LEASING CO LLC DBA CLEARVISTA HEALTH AND WELLNESS

Facility Address:
3364 KOLBE ROAD, SUITE 200
LORAIN, OH
ZIP 44053
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Facility Phone Number: 440 960-7960

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1598160533

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	36D2093397
LAB Type	Hospital
Facility Name	KOLBE II LEASING CO LLC DBA CLEARVISTA HEALTH AND WELLNESS
Street	3364 KOLBE ROAD, SUITE 200
City	LORAIN
State	OH
ZIP	44053
Phone	440 960-7960
CertificateType	4
CertificateEffectiveDate	3/26/2023
CertificateExpirationDate	3/25/2025
FacilityType	Waiver

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