36D2046561 CLIA NUMBER - ANTHONY P KOULIANOS MD INC

Laboratory Demographics

  • CLIA Code: 36D2046561
  • Facility Name: ANTHONY P KOULIANOS MD INC
  • Facility Address: 935 TRAILWOOD DR STE A
    YOUNGSTOWN, OH
    ZIP 44512
  • Facility Phone: 330 953-3204
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY P. KOULIANOS
  • NPI Number: 1477806503
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2046561
LAB Type Physician Office
Facility Name ANTHONY P KOULIANOS MD INC
Street 935 TRAILWOOD DR STE A
City YOUNGSTOWN
State OH
ZIP 44512
Phone 330 953-3204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director ANTHONY P. KOULIANOS

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