36D2199660 CLIA NUMBER - ST JOSEPH ASSISTED RESIDENCE

Laboratory Demographics

  • CLIA Code: 36D2199660
  • Facility Name: ST JOSEPH ASSISTED RESIDENCE
  • Facility Address: 1882 KNOB STREET
    LOUISVILLE, OH
    ZIP 44641
  • Facility Phone: 330 875-5562
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN M. STRUTNER
  • NPI Number: 1578155123
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2199660
LAB Type Assisted Living Facility
Facility Name ST JOSEPH ASSISTED RESIDENCE
Street 1882 KNOB STREET
City LOUISVILLE
State OH
ZIP 44641
Phone 330 875-5562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Assisted Living Facility
Lab Director SUSAN M. STRUTNER

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