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36D2155718 CLIA NUMBER - MIDWEST CENTERS AT YOUNGSTOWN

Laboratory Demographics

CLIA Number: 36D2155718

Facility Name: MIDWEST CENTERS AT YOUNGSTOWN

Facility Address:
45 N CANFIELD NILES ROAD
YOUNGSTOWN, OH
ZIP 44515
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Facility Phone Number: 330 330-8777

Facility Type: Other - SUSTANCE USE TRTMT CTR

Certificate Type: Waiver
NPI Number: 1366912933

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name Field Value
CLIA Number 36D2155718
LAB Type Other - SUSTANCE USE TRTMT CTR
Facility Name MIDWEST CENTERS AT YOUNGSTOWN
Street 45 N CANFIELD NILES ROAD
City YOUNGSTOWN
State OH
ZIP 44515
Phone 330 330-8777
CertificateType 4
CertificateEffectiveDate 10/3/2022
CertificateExpirationDate 10/2/2024
FacilityType Waiver

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