36D2157851 CLIA NUMBER - RECOVERY INSTITUTE OF OHIO LLC

Laboratory Demographics

CLIA Number: 36D2157851

Facility Name: RECOVERY INSTITUTE OF OHIO LLC

Facility Address:
1019 PIERCE STREET
SANDUSKY, OH
ZIP 44870
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Facility Phone Number: 567 998-4102

Facility Type: Other - SUBSTANCE ABUSE INPT

Certificate Type: Waiver

NPI Number: 1043795834

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	36D2157851
LAB Type	Other - SUBSTANCE ABUSE INPT
Facility Name	RECOVERY INSTITUTE OF OHIO LLC
Street	1019 PIERCE STREET
City	SANDUSKY
State	OH
ZIP	44870
Phone	567 998-4102
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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