36D2297003 CLIA NUMBER - REAL LIFE SOLUTIONS BEHAVIORAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 36D2297003
  • Facility Name: REAL LIFE SOLUTIONS BEHAVIORAL HEALTH, LLC
  • Facility Address: 18848 STATE ROUTE 136
    WINCHESTER, OH
    ZIP 45697
  • Facility Phone: 937 741-3862
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCIA SILCOTT
  • NPI Number: 1952017188
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2297003
LAB Type Physician Office
Facility Name REAL LIFE SOLUTIONS BEHAVIORAL HEALTH, LLC
Street 18848 STATE ROUTE 136
City WINCHESTER
State OH
ZIP 45697
Phone 937 741-3862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director MARCIA SILCOTT

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This page was last updated on: 6/4/2025