36D2281528 CLIA NUMBER - HINES HILL OPERATING CO, LLC DBA HINES HILL SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 36D2281528
  • Facility Name: HINES HILL OPERATING CO, LLC DBA HINES HILL SENIOR LIVING
  • Facility Address: 6731 INDUSTRIAL PKWY
    HUDSON, OH
    ZIP 44236
  • Facility Phone: 330 618-0453
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEREK T. HANSEN
  • NPI Number: 1194500975
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2281528
LAB Type Assisted Living Facility
Facility Name HINES HILL OPERATING CO, LLC DBA HINES HILL SENIOR LIVING
Street 6731 INDUSTRIAL PKWY
City HUDSON
State OH
ZIP 44236
Phone 330 618-0453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Assisted Living Facility
Lab Director DEREK T. HANSEN

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