36D2087415 CLIA NUMBER - SCIOTO PAINT VALLEY MENTAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 36D2087415
  • Facility Name: SCIOTO PAINT VALLEY MENTAL HEALTH CENTER
  • Facility Address: 4449 STATE ROUTE 159
    CHILLICOTHE, OH
    ZIP 45601
  • Facility Phone: (740) 775-1260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ESTELLA J. WETZEL
  • NPI Number: 1053679100
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2087415
LAB Type Physician Office
Facility Name SCIOTO PAINT VALLEY MENTAL HEALTH CENTER
Street 4449 STATE ROUTE 159
City CHILLICOTHE
State OH
ZIP 45601
Phone 7407751260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director ESTELLA J. WETZEL

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This page was last updated on: 5/18/2026