36D2284046 CLIA NUMBER - OMNI WEST ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 36D2284046
  • Facility Name: OMNI WEST ASSISTED LIVING
  • Facility Address: 3259 VESTAL RD
    YOUNGSTOWN, OH
    ZIP 44509
  • Facility Phone: 330 793-4404
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARCIA TABOR
  • NPI Number: 1205049160
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2284046
LAB Type Assisted Living Facility
Facility Name OMNI WEST ASSISTED LIVING
Street 3259 VESTAL RD
City YOUNGSTOWN
State OH
ZIP 44509
Phone 330 793-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Assisted Living Facility
Lab Director MARCIA TABOR

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