36D2200529 CLIA NUMBER - ASHTABULA COUNTY RESIDENTIAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D2200529
  • Facility Name: ASHTABULA COUNTY RESIDENTIAL SERVICES
  • Facility Address: 29 PARRISH ROAD
    CONNEAUT, OH
    ZIP 44030
  • Facility Phone: (440) 593-6027
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: JOYANNA L. GROEL
  • NPI Number: 1265608756
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 36D2200529
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ASHTABULA COUNTY RESIDENTIAL SERVICES
Street 29 PARRISH ROAD
City CONNEAUT
State OH
ZIP 44030
Phone 4405936027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director JOYANNA L. GROEL

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This page was last updated on: 5/18/2026