36D2306438 CLIA NUMBER - TRAILS REHAB LLC, THE

Laboratory Demographics

  • CLIA Code: 36D2306438
  • Facility Name: TRAILS REHAB LLC, THE
  • Facility Address: 16506 FLINT RIDGE RD
    NEWARK, OH
    ZIP 43056
  • Facility Phone: 866 959-9910
  • Facility Type: Other - MENTAL HEALTH RESIDENTIAL
  • Facility Type: Waiver
  • Lab Director: DELANEY M. SMITH
  • NPI Number: 1487397097
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2306438
LAB Type Other - MENTAL HEALTH RESIDENTIAL
Facility Name TRAILS REHAB LLC, THE
Street 16506 FLINT RIDGE RD
City NEWARK
State OH
ZIP 43056
Phone 866 959-9910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Other - MENTAL HEALTH RESIDENTIAL
Lab Director DELANEY M. SMITH

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