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 330 748-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2023
Certificate Expiration Date 6/12/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WILLIAM H. MEYER

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This page was last updated on: 3/20/2025