36D2269226 CLIA NUMBER - MIDWEST RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 36D2269226
  • Facility Name: MIDWEST RECOVERY CENTER
  • Facility Address: 115 W STATE ST
    NORTH BALTIMORE, OH
    ZIP 45872
  • Facility Phone: 419 206-0843
  • Facility Type: Other - BEHAVIORAL HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: VAHID OSMAN
  • NPI Number: 1407326366
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2269226
LAB Type Other - BEHAVIORAL HEALTH CENTER
Facility Name MIDWEST RECOVERY CENTER
Street 115 W STATE ST
City NORTH BALTIMORE
State OH
ZIP 45872
Phone 419 206-0843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Other - BEHAVIORAL HEALTH CENTER
Lab Director VAHID OSMAN

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