36D2284736 CLIA NUMBER - SANCTUARY OF GENEVA LLC

Laboratory Demographics

CLIA Number: 36D2284736

Facility Name: SANCTUARY OF GENEVA LLC

Facility Address:
200 COMMERCE PLACE
GENEVA, OH
ZIP 44041
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Facility Phone Number: 440 466-1770

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1659591386

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	36D2284736
LAB Type	Assisted Living Facility
Facility Name	SANCTUARY OF GENEVA LLC
Street	200 COMMERCE PLACE
City	GENEVA
State	OH
ZIP	44041
Phone	440 466-1770
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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