36D2038208 CLIA NUMBER - MILL CREEK ENDOSCOPY SUITES INC

Laboratory Demographics

  • CLIA Code: 36D2038208
  • Facility Name: MILL CREEK ENDOSCOPY SUITES INC
  • Facility Address: 1210 BOARDMAN CANFIELD ROAD
    YOUNGSTOWN, OH
    ZIP 44512
  • Facility Phone: 330 399-7215
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADEL I. YOUSSEF
  • NPI Number: 1487924536
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2038208
LAB Type Ambulatory Surgery Center
Facility Name MILL CREEK ENDOSCOPY SUITES INC
Street 1210 BOARDMAN CANFIELD ROAD
City YOUNGSTOWN
State OH
ZIP 44512
Phone 330 399-7215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Ambulatory Surgery Center
Lab Director ADEL I. YOUSSEF

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