36D2257694 CLIA NUMBER - ADVANTAGE HOSPICE COMPANY

Laboratory Demographics

  • CLIA Code: 36D2257694
  • Facility Name: ADVANTAGE HOSPICE COMPANY
  • Facility Address: 4141 FULTON DR NW
    CANTON, OH
    ZIP 44718
  • Facility Phone: 234 262-9650
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEVE NAM
  • NPI Number: 1861066995
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2257694
LAB Type Hospice
Facility Name ADVANTAGE HOSPICE COMPANY
Street 4141 FULTON DR NW
City CANTON
State OH
ZIP 44718
Phone 234 262-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Hospice
Lab Director STEVE NAM

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