36D2194705 CLIA NUMBER - HAMPTON WOODS ASSISTED LIVING INC

Laboratory Demographics

  • CLIA Code: 36D2194705
  • Facility Name: HAMPTON WOODS ASSISTED LIVING INC
  • Facility Address: 1525 EAST WESTERN RESERVE
    POLAND, OH
    ZIP 44514
  • Facility Phone: 330 707-1400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FRANK ANTALOCY
  • NPI Number: 1184786030
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2194705
LAB Type Assisted Living Facility
Facility Name HAMPTON WOODS ASSISTED LIVING INC
Street 1525 EAST WESTERN RESERVE
City POLAND
State OH
ZIP 44514
Phone 330 707-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Assisted Living Facility
Lab Director FRANK ANTALOCY

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