36D2175968 CLIA NUMBER - RESTORE COMPASSIONATE BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 36D2175968
  • Facility Name: RESTORE COMPASSIONATE BEHAVIORAL HEALTH
  • Facility Address: 725 BOARDMAN CANFIELD ROAD UNIT L1
    BOARDMAN, OH
    ZIP 44512
  • Facility Phone: 330 330-8655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJENDRA KOIRALA
  • NPI Number: 1760977177
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 36D2175968
LAB Type Physician Office
Facility Name RESTORE COMPASSIONATE BEHAVIORAL HEALTH
Street 725 BOARDMAN CANFIELD ROAD UNIT L1
City BOARDMAN
State OH
ZIP 44512
Phone 330 330-8655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director RAJENDRA KOIRALA

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