36D2004794 CLIA NUMBER - COMMUNITY SUPPORT SERVICES, INC

Laboratory Demographics

  • CLIA Code: 36D2004794
  • Facility Name: COMMUNITY SUPPORT SERVICES, INC
  • Facility Address: 150 CROSS STREET ATTN PATRICIA ROHLEDER
    AKRON, OH
    ZIP 44311
  • Facility Phone: 330 253-9388
  • Facility Type: Other - PRIMARY CARE IN MH
  • Facility Type: Waiver
  • Lab Director: KENDRICK BASHOR
  • NPI Number: 1649778374
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2004794
LAB Type Other - PRIMARY CARE IN MH
Facility Name COMMUNITY SUPPORT SERVICES, INC
Street 150 CROSS STREET ATTN PATRICIA ROHLEDER
City AKRON
State OH
ZIP 44311
Phone 330 253-9388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Other - PRIMARY CARE IN MH
Lab Director KENDRICK BASHOR

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