36D2132102 CLIA NUMBER - PROGRESSIVE MACEDONIA LLC DBA AVENUE AT MACEDONIA

Laboratory Demographics

  • CLIA Code: 36D2132102
  • Facility Name: PROGRESSIVE MACEDONIA LLC DBA AVENUE AT MACEDONIA
  • Facility Address: 9730 VALLEY VIEW RD
    MACEDONIA, OH
    ZIP 44056
  • Facility Phone: (330) 748-8800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM H. MEYER
  • NPI Number: 1033650320
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2132102
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PROGRESSIVE MACEDONIA LLC DBA AVENUE AT MACEDONIA
Street 9730 VALLEY VIEW RD
City MACEDONIA
State OH
ZIP 44056
Phone 3307488800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WILLIAM H. MEYER

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This page was last updated on: 5/18/2026