36D2194839 CLIA NUMBER - LANTERN OF CHAGRIN VALLEY

Laboratory Demographics

  • CLIA Code: 36D2194839
  • Facility Name: LANTERN OF CHAGRIN VALLEY
  • Facility Address: 5277 CHILLICOTHE ROAD
    CHAGRIN FALLS, OH
    ZIP 44022
  • Facility Phone: 440 996-5084
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY SEMPLE
  • NPI Number: 1144747320
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2194839
LAB Type Assisted Living Facility
Facility Name LANTERN OF CHAGRIN VALLEY
Street 5277 CHILLICOTHE ROAD
City CHAGRIN FALLS
State OH
ZIP 44022
Phone 440 996-5084
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 KIMBERLY SEMPLE

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This page was last updated on: 6/4/2025