39D2151289 CLIA NUMBER - OPIOID ADDICTION RECOVERY SERVICES

Laboratory Demographics

CLIA Number: 39D2151289

Facility Name: OPIOID ADDICTION RECOVERY SERVICES

Facility Address:
210 W WASHINGTON ST
NEW CASTLE, PA
ZIP 16101
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Facility Phone Number: 724 912-6277

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033568738

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	39D2151289
LAB Type	Physician Office
Facility Name	OPIOID ADDICTION RECOVERY SERVICES
Street	210 W WASHINGTON ST
City	NEW CASTLE
State	PA
ZIP	16101
Phone	724 912-6277
CertificateType	4
CertificateEffectiveDate	7/17/2022
CertificateExpirationDate	7/16/2024
FacilityType	Waiver

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