36D2080437 CLIA NUMBER - EXCLUSIVE SERVICES

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Laboratory Demographics

CLIA Number: 36D2080437

Facility Name: EXCLUSIVE SERVICES

Facility Address:
11134 LUSCHEK DR
CINCINNATI, OH
ZIP 45241
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Facility Phone Number: 513 827-9273

Facility Type: Other - INTEGRATED HEALTHCARE

Certificate Type: Waiver

NPI Number: 1700157591

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	36D2080437
LAB Type	Other - INTEGRATED HEALTHCARE
Facility Name	EXCLUSIVE SERVICES
Street	11134 LUSCHEK DR
City	CINCINNATI
State	OH
ZIP	45241
Phone	513 827-9273
CertificateType	4
CertificateEffectiveDate	7/8/2022
CertificateExpirationDate	7/7/2024
FacilityType	Waiver

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