36D2146497 CLIA NUMBER - THRIVE COUNSELING

Laboratory Demographics

  • CLIA Code: 36D2146497
  • Facility Name: THRIVE COUNSELING
  • Facility Address: 1705 WOODLAND ST NE
    WARREN, OH
    ZIP 44483
  • Facility Phone: 330 469-5702
  • Facility Type: Other - DRUG AND ALCOHOL OUTPT
  • Facility Type: Waiver
  • Lab Director: ANDREA L. DEJACIMO
  • NPI Number: 1871082115
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2146497
LAB Type Other - DRUG AND ALCOHOL OUTPT
Facility Name THRIVE COUNSELING
Street 1705 WOODLAND ST NE
City WARREN
State OH
ZIP 44483
Phone 330 469-5702
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 Other - DRUG AND ALCOHOL OUTPT
Lab Director ANDREA L. DEJACIMO

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