36D2241116 CLIA NUMBER - AFFECT THERAPEUTICS

Laboratory Demographics

  • CLIA Code: 36D2241116
  • Facility Name: AFFECT THERAPEUTICS
  • Facility Address: 507 RICHLAND AVE, SUITE 203A
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 951 691-9101
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KARLA R. MULLINGS
  • NPI Number: 1104402064
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2241116
LAB Type Comp. Outpatient Rehab Facility
Facility Name AFFECT THERAPEUTICS
Street 507 RICHLAND AVE, SUITE 203A
City ATHENS
State OH
ZIP 45701
Phone 951 691-9101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director KARLA R. MULLINGS

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This page was last updated on: 3/20/2025