36D0971938 CLIA NUMBER - ADDISON OF CORNERSBURG, THE

Laboratory Demographics

  • CLIA Code: 36D0971938
  • Facility Name: ADDISON OF CORNERSBURG, THE
  • Facility Address: 2300 CANFIELD RD
    YOUNGSTOWN, OH
    ZIP 44511
  • Facility Phone: 330 793-0085
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SAEDA S. GRAY
  • NPI Number: 1891242251
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0971938
LAB Type Assisted Living Facility
Facility Name ADDISON OF CORNERSBURG, THE
Street 2300 CANFIELD RD
City YOUNGSTOWN
State OH
ZIP 44511
Phone 330 793-0085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Assisted Living Facility
Lab Director SAEDA S. GRAY

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