36D2201643 CLIA NUMBER - NOVA BEHAVIORAL HEALTH, INC

Laboratory Demographics

  • CLIA Code: 36D2201643
  • Facility Name: NOVA BEHAVIORAL HEALTH, INC
  • Facility Address: 732 BECKMAN ST
    DAYTON, OH
    ZIP 45410
  • Facility Phone: 937 253-1680
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ARIZ ANKLESARIA
  • NPI Number: 1164782017
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2201643
LAB Type Comp. Outpatient Rehab Facility
Facility Name NOVA BEHAVIORAL HEALTH, INC
Street 732 BECKMAN ST
City DAYTON
State OH
ZIP 45410
Phone 937 253-1680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ARIZ ANKLESARIA

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