36D2162829 CLIA NUMBER - SUNRISE TREATMENT CENTER - MILFORD

Laboratory Demographics

CLIA Number: 36D2162829

Facility Name: SUNRISE TREATMENT CENTER - MILFORD

Facility Address:
25 WHITNEY DR
MILFORD, OH
ZIP 45150
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Facility Phone Number: 513 941-4999

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790242675

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2162829
LAB Type	Physician Office
Facility Name	SUNRISE TREATMENT CENTER - MILFORD
Street	25 WHITNEY DR
City	MILFORD
State	OH
ZIP	45150
Phone	513 941-4999
CertificateType	4
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	Waiver

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