36D2004794 CLIA NUMBER - COMMUNITY SUPPORT SERVICES, INC

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Laboratory Demographics

CLIA Number: 36D2004794

Facility Name: COMMUNITY SUPPORT SERVICES, INC

Facility Address:
150 CROSS STREET ATTN PATRICIA ROHLEDER
AKRON, OH
ZIP 44311
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Facility Phone Number: 330 253-9388

Facility Type: Other - PRIMARY CARE IN MH

Certificate Type: Waiver

NPI Number: 1649778374

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	3/12/2024
CertificateExpirationDate	3/11/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024