36D2195017 CLIA NUMBER - NILES RESIDENTIAL CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2195017
  • Facility Name: NILES RESIDENTIAL CARE, LLC
  • Facility Address: 2567 NILES VIENNA ROAD
    NILES, OH
    ZIP 44446
  • Facility Phone: 330 652-6745
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. DENISE FEDOREK
  • NPI Number: 1952775512
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2195017
LAB Type Assisted Living Facility
Facility Name NILES RESIDENTIAL CARE, LLC
Street 2567 NILES VIENNA ROAD
City NILES
State OH
ZIP 44446
Phone 330 652-6745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Assisted Living Facility
Lab Director MS. DENISE FEDOREK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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