36D2123160 CLIA NUMBER - VICTORIA HOUSE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 36D2123160
  • Facility Name: VICTORIA HOUSE ASSISTED LIVING
  • Facility Address: 5295 ASHLEY CIRCLE
    AUSTINTOWN, OH
    ZIP 44515
  • Facility Phone: 330 799-1711
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DANIELLE RUSSO
  • NPI Number: 1134403421
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 36D2123160
LAB Type Assisted Living Facility
Facility Name VICTORIA HOUSE ASSISTED LIVING
Street 5295 ASHLEY CIRCLE
City AUSTINTOWN
State OH
ZIP 44515
Phone 330 799-1711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Assisted Living Facility
Lab Director DANIELLE RUSSO

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