36D2275969 CLIA NUMBER - SUPERIOR BEHAVIORAL HEALTH, INC

Laboratory Demographics

CLIA Number: 36D2275969

Facility Name: SUPERIOR BEHAVIORAL HEALTH, INC

Facility Address:
5350 TRANSPORTATION BLVD
GARFIELD HEIGHTS, OH
ZIP 44125
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Facility Phone Number: 917 636-0522

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1417685264

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2275969
LAB Type	Community Clinic
Facility Name	SUPERIOR BEHAVIORAL HEALTH, INC
Street	5350 TRANSPORTATION BLVD
City	GARFIELD HEIGHTS
State	OH
ZIP	44125
Phone	917 636-0522
CertificateType	4
CertificateEffectiveDate	1/31/2023
CertificateExpirationDate	1/30/2025
FacilityType	Waiver

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