36D2186956 CLIA NUMBER - MAHAJAN THERAPEUTICS, LLC

Laboratory Demographics

  • CLIA Code: 36D2186956
  • Facility Name: MAHAJAN THERAPEUTICS, LLC
  • Facility Address: 6210 NORTH MAIN STREET
    DAYTON, OH
    ZIP 45415
  • Facility Phone: 937 275-1500
  • Facility Type: Other - NARCOTIC TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BERLEAN
  • NPI Number: 1730719543
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2186956
LAB Type Other - NARCOTIC TREATMENT CENTER
Facility Name MAHAJAN THERAPEUTICS, LLC
Street 6210 NORTH MAIN STREET
City DAYTON
State OH
ZIP 45415
Phone 937 275-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Other - NARCOTIC TREATMENT CENTER
Lab Director CHRISTOPHER BERLEAN

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