36D2197475 CLIA NUMBER - FOUNDATIONS FOR LIVING

Laboratory Demographics

CLIA Code: 36D2197475
Facility Name: FOUNDATIONS FOR LIVING
Facility Address: 1451 LUCAS ROAD
MANSFIELD, OH
ZIP 44903
Facility Phone: 419 589-5511
Facility Type: Other - RESIDENTIAL TREATMENT CTR
Facility Type: Waiver
Lab Director: GRANT GALBRAITH
NPI Number: 1134388739
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	36D2197475
LAB Type	Other - RESIDENTIAL TREATMENT CTR
Facility Name	FOUNDATIONS FOR LIVING
Street	1451 LUCAS ROAD
City	MANSFIELD
State	OH
ZIP	44903
Phone	419 589-5511
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/26/2024
Certificate Expiration Date	10/25/2026
Facility Type	Other - RESIDENTIAL TREATMENT CTR
Lab Director	GRANT GALBRAITH

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