36D2123398 CLIA NUMBER - SYMPHONY AT CENTERVILLE

Laboratory Demographics

CLIA Number: 36D2123398

Facility Name: SYMPHONY AT CENTERVILLE

Facility Address:
7383 PARAGON ROAD
WASHINGTON TOWNSHIP, OH
ZIP 45459
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Facility Phone Number: 937 999-2586

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1679598585

Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	36D2123398
LAB Type	Assisted Living Facility
Facility Name	SYMPHONY AT CENTERVILLE
Street	7383 PARAGON ROAD
City	WASHINGTON TOWNSHIP
State	OH
ZIP	45459
Phone	937 999-2586
CertificateType	4
CertificateEffectiveDate	12/20/2022
CertificateExpirationDate	12/19/2024
FacilityType	Waiver

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