36D2083038 CLIA NUMBER - COMMUNITY BEHAVIORAL HEALTH

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Laboratory Demographics

CLIA Number: 36D2083038

Facility Name: COMMUNITY BEHAVIORAL HEALTH

Facility Address:
230 LUDLOW STREET
HAMILTON, OH
ZIP 45011
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Facility Phone Number: 513 785-4783

Facility Type: Other - BEHAVIORAL HEALTH

Certificate Type: Waiver

NPI Number: 1700449428

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	36D2083038
LAB Type	Other - BEHAVIORAL HEALTH
Facility Name	COMMUNITY BEHAVIORAL HEALTH
Street	230 LUDLOW STREET
City	HAMILTON
State	OH
ZIP	45011
Phone	513 785-4783
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

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