36D2074565 CLIA NUMBER - PREMIER BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 36D2074565
  • Facility Name: PREMIER BEHAVIORAL HEALTH SERVICES
  • Facility Address: 8701 MENTOR AVE
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 440 266-0770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAHMAN SHARIF
  • NPI Number: 1184869786
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2074565
LAB Type Physician Office
Facility Name PREMIER BEHAVIORAL HEALTH SERVICES
Street 8701 MENTOR AVE
City MENTOR
State OH
ZIP 44060
Phone 440 266-0770
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 Physician Office
Lab Director BAHMAN SHARIF

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