36D2320143 CLIA NUMBER - ONE SENIOR CARE OHIO, LLC DBA BUCKEYE PACE ASHTABULA

Laboratory Demographics

CLIA Code: 36D2320143
Facility Name: ONE SENIOR CARE OHIO, LLC DBA BUCKEYE PACE ASHTABULA
Facility Address: 2148 LAKE AVENUE
ASHTABULA, OH
ZIP 44004
Facility Phone: 800 469-0785
Facility Type: Other - PACE PROGRAM
Facility Type: Waiver
Lab Director: JEREMY J. MASHBURN
NPI Number: 1932998630
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	36D2320143
LAB Type	Other - PACE PROGRAM
Facility Name	ONE SENIOR CARE OHIO, LLC DBA BUCKEYE PACE ASHTABULA
Street	2148 LAKE AVENUE
City	ASHTABULA
State	OH
ZIP	44004
Phone	800 469-0785
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/13/2025
Certificate Expiration Date	3/12/2027
Facility Type	Other - PACE PROGRAM
Lab Director	JEREMY J. MASHBURN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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