36D2140060 CLIA NUMBER - PROSPERITY HAVEN, LLC

Laboratory Demographics

  • CLIA Code: 36D2140060
  • Facility Name: PROSPERITY HAVEN, LLC
  • Facility Address: 9600 OLD STATE RD
    CHARDON, OH
    ZIP 44024
  • Facility Phone: 216 372-6643
  • Facility Type: Other - RES SUSTANCE ABUSE TX
  • Facility Type: Waiver
  • Lab Director: MEIR KASNETT
  • NPI Number: 1689186769
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2140060
LAB Type Other - RES SUSTANCE ABUSE TX
Facility Name PROSPERITY HAVEN, LLC
Street 9600 OLD STATE RD
City CHARDON
State OH
ZIP 44024
Phone 216 372-6643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Other - RES SUSTANCE ABUSE TX
Lab Director MEIR KASNETT

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