36D2194832 CLIA NUMBER - LANTERN OF MADISON

Laboratory Demographics

  • CLIA Code: 36D2194832
  • Facility Name: LANTERN OF MADISON
  • Facility Address: 2041 HUBBARD ROAD
    MADISON, OH
    ZIP 44057
  • Facility Phone: 440 428-2664
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CARRIE HOSTETLER
  • NPI Number: 1790824431
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2194832
LAB Type Assisted Living Facility
Facility Name LANTERN OF MADISON
Street 2041 HUBBARD ROAD
City MADISON
State OH
ZIP 44057
Phone 440 428-2664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Assisted Living Facility
Lab Director CARRIE HOSTETLER

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