36D2123621 CLIA NUMBER - PAX TREATMENT CENTERS

Laboratory Demographics

  • CLIA Code: 36D2123621
  • Facility Name: PAX TREATMENT CENTERS
  • Facility Address: 4302 ROOSEVELT BLVD
    MIDDLETOWN, OH
    ZIP 45044
  • Facility Phone: (513) 433-1032
  • Facility Type: Other - METHADONE IOP TRTMT PRGRM
  • Facility Type: Waiver
  • Lab Director: JOHN SILVANI
  • NPI Number: 1205321049
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2123621
LAB Type Other - METHADONE IOP TRTMT PRGRM
Facility Name PAX TREATMENT CENTERS
Street 4302 ROOSEVELT BLVD
City MIDDLETOWN
State OH
ZIP 45044
Phone 5134331032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Other - METHADONE IOP TRTMT PRGRM
Lab Director JOHN SILVANI

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