36D2166920 CLIA NUMBER - AVENUE AT BROADVIEW HEIGHTS

Laboratory Demographics

  • CLIA Code: 36D2166920
  • Facility Name: AVENUE AT BROADVIEW HEIGHTS
  • Facility Address: 1201 AKINS RD
    BROADVIEW HEIGHTS, OH
    ZIP 44147
  • Facility Phone: 440 457-2900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAQUELINE COFIELD
  • NPI Number: 1609343177
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2166920
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVENUE AT BROADVIEW HEIGHTS
Street 1201 AKINS RD
City BROADVIEW HEIGHTS
State OH
ZIP 44147
Phone 440 457-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAQUELINE COFIELD

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