36D2227456 CLIA NUMBER - BAYMARK HEALTH SERVICES OF OHIO, INC DBA MEDMARK TREATMENT CENTERS YOUNGSTOWN

Laboratory Demographics

CLIA Number: 36D2227456

Facility Name: BAYMARK HEALTH SERVICES OF OHIO, INC DBA MEDMARK TREATMENT CENTERS YOUNGSTOWN

Facility Address:
900 SAHARA TRAIL
BOARDMAN, OH
ZIP 44514
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Facility Phone Number: 330 267-9020

Facility Type: Other - NARCOTIC TREATMENT

Certificate Type: Waiver

NPI Number: 1366018228

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2227456
LAB Type	Other - NARCOTIC TREATMENT
Facility Name	BAYMARK HEALTH SERVICES OF OHIO, INC DBA MEDMARK TREATMENT CENTERS YOUNGSTOWN
Street	900 SAHARA TRAIL
City	BOARDMAN
State	OH
ZIP	44514
Phone	330 267-9020
CertificateType	4
CertificateEffectiveDate	6/11/2023
CertificateExpirationDate	6/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024