36D2290395 CLIA NUMBER - ANEW BEHAVIORAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 36D2290395
  • Facility Name: ANEW BEHAVIORAL HEALTH, LLC
  • Facility Address: 809 COSHOCTON AVENUE, SUITE F
    MOUNT VERNON, OH
    ZIP 43050
  • Facility Phone: 469 271-6843
  • Facility Type: Other - OUTPT BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL D. BOGGS
  • NPI Number: 1053983148
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2290395
LAB Type Other - OUTPT BEHAVIORAL HEALTH
Facility Name ANEW BEHAVIORAL HEALTH, LLC
Street 809 COSHOCTON AVENUE, SUITE F
City MOUNT VERNON
State OH
ZIP 43050
Phone 469 271-6843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Other - OUTPT BEHAVIORAL HEALTH
Lab Director DR. MICHAEL D. BOGGS

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