36D2123653 CLIA NUMBER - PIKE COUNTY RECOVERY COUNCIL, INC

Laboratory Demographics

  • CLIA Code: 36D2123653
  • Facility Name: PIKE COUNTY RECOVERY COUNCIL, INC
  • Facility Address: 218 E NORTH STREET
    WAVERLY, OH
    ZIP 45690
  • Facility Phone: 740 947-6727
  • Facility Type: Other - COMMUNITY BEHAVIORAL HEAL
  • Facility Type: Waiver
  • Lab Director: SEAN STILTNER
  • NPI Number: 1891055133
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2123653
LAB Type Other - COMMUNITY BEHAVIORAL HEAL
Facility Name PIKE COUNTY RECOVERY COUNCIL, INC
Street 218 E NORTH STREET
City WAVERLY
State OH
ZIP 45690
Phone 740 947-6727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Other - COMMUNITY BEHAVIORAL HEAL
Lab Director SEAN STILTNER

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This page was last updated on: 9/29/2025