36D2300470 CLIA NUMBER - CHANGING HEARTS LLC

Laboratory Demographics

  • CLIA Code: 36D2300470
  • Facility Name: CHANGING HEARTS LLC
  • Facility Address: 1715 SPRINGFIELD STREET SUITE 8B
    DAYTON, OH
    ZIP 45403
  • Facility Phone: 937 674-9911
  • Facility Type: Other - SUD AND MH SERVICES
  • Facility Type: Waiver
  • Lab Director: ISAAC CORNEY
  • NPI Number: 1912663485
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2300470
LAB Type Other - SUD AND MH SERVICES
Facility Name CHANGING HEARTS LLC
Street 1715 SPRINGFIELD STREET SUITE 8B
City DAYTON
State OH
ZIP 45403
Phone 937 674-9911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Other - SUD AND MH SERVICES
Lab Director ISAAC CORNEY

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