36D2312360 CLIA NUMBER - KENTON AL LLC

Laboratory Demographics

  • CLIA Code: 36D2312360
  • Facility Name: KENTON AL LLC
  • Facility Address: 825 RICHARD LANE
    KENTON, OH
    ZIP 43326
  • Facility Phone: 419 673-9821
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ASHLEY M. WYEN
  • NPI Number: 1497523948
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2312360
LAB Type Assisted Living Facility
Facility Name KENTON AL LLC
Street 825 RICHARD LANE
City KENTON
State OH
ZIP 43326
Phone 419 673-9821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Assisted Living Facility
Lab Director ASHLEY M. WYEN

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