36D2145163 CLIA NUMBER - CANTON 4550 OPCO, LLC DBA AVIVA HILLS

Laboratory Demographics

  • CLIA Code: 36D2145163
  • Facility Name: CANTON 4550 OPCO, LLC DBA AVIVA HILLS
  • Facility Address: 4550 HILLS AND DALES RD NW
    CANTON, OH
    ZIP 44708
  • Facility Phone: 330 477-5727
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CASANDRA SCOTT
  • NPI Number: 1851146708
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2145163
LAB Type Assisted Living Facility
Facility Name CANTON 4550 OPCO, LLC DBA AVIVA HILLS
Street 4550 HILLS AND DALES RD NW
City CANTON
State OH
ZIP 44708
Phone 330 477-5727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Assisted Living Facility
Lab Director CASANDRA SCOTT

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