36D2160906 CLIA NUMBER - SILVER MAPLE RECOVERY

Laboratory Demographics

  • CLIA Code: 36D2160906
  • Facility Name: SILVER MAPLE RECOVERY
  • Facility Address: 2101 ALL PRO ATHLETIC AVENUE
    LORAIN, OH
    ZIP 44053
  • Facility Phone: 440 830-3400
  • Facility Type: Other - IN PATIENT DRUG AND ALCOH
  • Facility Type: Waiver
  • Lab Director: AMY L. SMILANICH
  • NPI Number: 1124597182
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2160906
LAB Type Other - IN PATIENT DRUG AND ALCOH
Facility Name SILVER MAPLE RECOVERY
Street 2101 ALL PRO ATHLETIC AVENUE
City LORAIN
State OH
ZIP 44053
Phone 440 830-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Other - IN PATIENT DRUG AND ALCOH
Lab Director AMY L. SMILANICH

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