36D2277384 CLIA NUMBER - BUCKEYE HOSPICE CARE

Laboratory Demographics

CLIA Number: 36D2277384

Facility Name: BUCKEYE HOSPICE CARE

Facility Address:
30701 LORAIN RD SUITE C
NORTH OLMSTED, OH
ZIP 44070
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Facility Phone Number: 440 377-6037

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1568190593

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	36D2277384
LAB Type	Hospice
Facility Name	BUCKEYE HOSPICE CARE
Street	30701 LORAIN RD SUITE C
City	NORTH OLMSTED
State	OH
ZIP	44070
Phone	440 377-6037
CertificateType	4
CertificateEffectiveDate	2/27/2023
CertificateExpirationDate	2/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024