36D2126907 CLIA NUMBER - ACT CENTER FOR RECOVERY

Laboratory Demographics

CLIA Number: 36D2126907

Facility Name: ACT CENTER FOR RECOVERY

Facility Address:
3132 BELMONT AVENUE
YOUNGSTOWN, OH
ZIP 44505
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Facility Phone Number: 844 652-8219

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1023380102

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2126907
LAB Type	Federally Qualified Health Center
Facility Name	ACT CENTER FOR RECOVERY
Street	3132 BELMONT AVENUE
City	YOUNGSTOWN
State	OH
ZIP	44505
Phone	844 652-8219
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

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