36D2279334 CLIA NUMBER - EMERGE RECOVERY AND TRADES INITIATIVE

Laboratory Demographics

  • CLIA Code: 36D2279334
  • Facility Name: EMERGE RECOVERY AND TRADES INITIATIVE
  • Facility Address: 2960 W ENON RD
    XENIA, OH
    ZIP 45385
  • Facility Phone: 937 272-4925
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RACHEL HUFFMAN
  • NPI Number: 1205544426
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2279334
LAB Type Practitioner Other
Facility Name EMERGE RECOVERY AND TRADES INITIATIVE
Street 2960 W ENON RD
City XENIA
State OH
ZIP 45385
Phone 937 272-4925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Practitioner Other
Lab Director RACHEL HUFFMAN

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