36D2152631 CLIA NUMBER - YOUTH INTENSIVE SERVICES

Laboratory Demographics

  • CLIA Code: 36D2152631
  • Facility Name: YOUTH INTENSIVE SERVICES
  • Facility Address: 238 S MERIDIAN RD
    YOUNGSTOWN, OH
    ZIP 44509
  • Facility Phone: 330 318-3436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEWAYNE THOMPSON
  • NPI Number: 1811312770
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2152631
LAB Type Physician Office
Facility Name YOUTH INTENSIVE SERVICES
Street 238 S MERIDIAN RD
City YOUNGSTOWN
State OH
ZIP 44509
Phone 330 318-3436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director DEWAYNE THOMPSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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