36D2145252 CLIA NUMBER - AVENUE AT WOOSTER

Laboratory Demographics

  • CLIA Code: 36D2145252
  • Facility Name: AVENUE AT WOOSTER
  • Facility Address: 1700 E SMITHVILLE WESTERN RD ATTN ADMINISTRATOR
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: 330 601-1001
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAUL NIELSEN
  • NPI Number: 1205347028
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2145252
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVENUE AT WOOSTER
Street 1700 E SMITHVILLE WESTERN RD ATTN ADMINISTRATOR
City WOOSTER
State OH
ZIP 44691
Phone 330 601-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAUL NIELSEN

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