36D2157108 CLIA NUMBER - MANSFIELD COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 36D2157108
  • Facility Name: MANSFIELD COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 475 LEXINGTON AVENUE
    MANSFIELD, OH
    ZIP 44907
  • Facility Phone: 419 419-5705
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY SUTTON
  • NPI Number: 1720407554
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2157108
LAB Type Comp. Outpatient Rehab Facility
Facility Name MANSFIELD COMPREHENSIVE TREATMENT CENTER
Street 475 LEXINGTON AVENUE
City MANSFIELD
State OH
ZIP 44907
Phone 419 419-5705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director TIMOTHY SUTTON

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