36D2280187 CLIA NUMBER - STARK RECOVERY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 36D2280187
  • Facility Name: STARK RECOVERY ASSOCIATES
  • Facility Address: 3801 WHIPPLE AVE NW, STE 1
    CANTON, OH
    ZIP 44718
  • Facility Phone: 216 413-0413
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLA HART-TYNER
  • NPI Number: 1194396689
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2280187
LAB Type Physician Office
Facility Name STARK RECOVERY ASSOCIATES
Street 3801 WHIPPLE AVE NW, STE 1
City CANTON
State OH
ZIP 44718
Phone 216 413-0413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director CARLA HART-TYNER

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