36D2248781 CLIA NUMBER - ADDICTION SERVICES COUNCIL

Laboratory Demographics

  • CLIA Code: 36D2248781
  • Facility Name: ADDICTION SERVICES COUNCIL
  • Facility Address: 2828 VERNON PLACE
    CINCINNATI, OH
    ZIP 45219
  • Facility Phone: 513 281-7880
  • Facility Type: Other - SUB USE DIS OUTPT 1A
  • Facility Type: Waiver
  • Lab Director: LISA MERTZ
  • NPI Number: 1952337248
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2248781
LAB Type Other - SUB USE DIS OUTPT 1A
Facility Name ADDICTION SERVICES COUNCIL
Street 2828 VERNON PLACE
City CINCINNATI
State OH
ZIP 45219
Phone 513 281-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Other - SUB USE DIS OUTPT 1A
Lab Director LISA MERTZ

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