36D2266357 CLIA NUMBER - RECOVERY CENTER OF OHIO, LLC, THE

Laboratory Demographics

CLIA Number: 36D2266357

Facility Name: RECOVERY CENTER OF OHIO, LLC, THE

Facility Address:
407 E LIVINGSTON AVE
COLUMBUS, OH
ZIP 43215
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Facility Phone Number: 513 256-2022

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1851043459

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2266357
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	RECOVERY CENTER OF OHIO, LLC, THE
Street	407 E LIVINGSTON AVE
City	COLUMBUS
State	OH
ZIP	43215
Phone	513 256-2022
CertificateType	4
CertificateEffectiveDate	8/9/2022
CertificateExpirationDate	8/8/2024
FacilityType	Waiver

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