36D2211904 CLIA NUMBER - SOUTHWOODS PHYSICIAN SERVICES

Laboratory Demographics

  • CLIA Code: 36D2211904
  • Facility Name: SOUTHWOODS PHYSICIAN SERVICES
  • Facility Address: 5754 YOUNGSTOWN-POLAND RD
    YOUNGSTOWN, OH
    ZIP 44514
  • Facility Phone: 330 729-8234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW J. LOCKSHAW
  • NPI Number: 1306168893
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 36D2211904
LAB Type Physician Office
Facility Name SOUTHWOODS PHYSICIAN SERVICES
Street 5754 YOUNGSTOWN-POLAND RD
City YOUNGSTOWN
State OH
ZIP 44514
Phone 330 729-8234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director ANDREW J. LOCKSHAW

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