36D2079955 CLIA NUMBER - SOJOURNER RECOVERY SERVICES

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Laboratory Demographics

CLIA Number: 36D2079955

Facility Name: SOJOURNER RECOVERY SERVICES

Facility Address:
1430 UNIVERSITY BLVD
HAMILTON, OH
ZIP 45011
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Facility Phone Number: 513 896-3497

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1699732628

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2079955
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	SOJOURNER RECOVERY SERVICES
Street	1430 UNIVERSITY BLVD
City	HAMILTON
State	OH
ZIP	45011
Phone	513 896-3497
CertificateType	4
CertificateEffectiveDate	6/27/2022
CertificateExpirationDate	6/26/2024
FacilityType	Waiver

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