36D1021211 CLIA NUMBER - PAISLEY HOUSE

Laboratory Demographics

  • CLIA Code: 36D1021211
  • Facility Name: PAISLEY HOUSE
  • Facility Address: 1408 MAHONING AVENUE
    YOUNGSTOWN, OH
    ZIP 44509
  • Facility Phone: 330 799-9431
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AUDEAN PATTERSON
  • NPI Number: 1891527255
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1021211
LAB Type Assisted Living Facility
Facility Name PAISLEY HOUSE
Street 1408 MAHONING AVENUE
City YOUNGSTOWN
State OH
ZIP 44509
Phone 330 799-9431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Assisted Living Facility
Lab Director AUDEAN PATTERSON

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