36D0941418 CLIA NUMBER - INTERVAL BROTHERHOOD HOME DBA IBH ADDICTION RECOVERY

Laboratory Demographics

  • CLIA Code: 36D0941418
  • Facility Name: INTERVAL BROTHERHOOD HOME DBA IBH ADDICTION RECOVERY
  • Facility Address: 3445 SOUTH MAIN STREET ATTN ELIZABETH LANGFORD, RN
    AKRON, OH
    ZIP 44319
  • Facility Phone: 330 237-6886
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ELIZABETH L. LANGFORD
  • NPI Number: 1760576565
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0941418
LAB Type Other
Facility Name INTERVAL BROTHERHOOD HOME DBA IBH ADDICTION RECOVERY
Street 3445 SOUTH MAIN STREET ATTN ELIZABETH LANGFORD, RN
City AKRON
State OH
ZIP 44319
Phone 330 237-6886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Other
Lab Director ELIZABETH L. LANGFORD

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