36D2160788 CLIA NUMBER - COLONIAL SENIOR SERVICES, INC DBA THE PATTERSON

Laboratory Demographics

  • CLIA Code: 36D2160788
  • Facility Name: COLONIAL SENIOR SERVICES, INC DBA THE PATTERSON
  • Facility Address: 4175 INDIAN RIPPLE ROAD
    BEAVER CREEK, OH
    ZIP 45440
  • Facility Phone: 937 230-4711
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SASHA HAMMOND
  • NPI Number: 1013749589
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2160788
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLONIAL SENIOR SERVICES, INC DBA THE PATTERSON
Street 4175 INDIAN RIPPLE ROAD
City BEAVER CREEK
State OH
ZIP 45440
Phone 937 230-4711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SASHA HAMMOND

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