36D2094261 CLIA NUMBER - MAPLEVIEW COUNTRY VILLA

Laboratory Demographics

  • CLIA Code: 36D2094261
  • Facility Name: MAPLEVIEW COUNTRY VILLA
  • Facility Address: 775 SOUTH ST
    CHARDON, OH
    ZIP 44024
  • Facility Phone: 440 286-8176
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MACKENZIE KRETCH
  • NPI Number: 1790179497
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2094261
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLEVIEW COUNTRY VILLA
Street 775 SOUTH ST
City CHARDON
State OH
ZIP 44024
Phone 440 286-8176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MACKENZIE KRETCH

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