36D2146477 CLIA NUMBER - CANTON COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 36D2146477
  • Facility Name: CANTON COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 2520 WALES AVE NW SUITE 100
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 877 691-2366
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: MARK WOYSHVILLE
  • NPI Number: 1295233054
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2146477
LAB Type Comp. Outpatient Rehab Facility
Facility Name CANTON COMPREHENSIVE TREATMENT CENTER
Street 2520 WALES AVE NW SUITE 100
City MASSILLON
State OH
ZIP 44646
Phone 877 691-2366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director MARK WOYSHVILLE

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