36D2308442 CLIA NUMBER - FRESH START BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 36D2308442
  • Facility Name: FRESH START BEHAVIORAL HEALTH
  • Facility Address: 6929 NORTH MAIN STREET
    DAYTON, OH
    ZIP 45414
  • Facility Phone: (937) 247-9102
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. JANETTE CARPENTER
  • NPI Number: 1093350951
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2308442
LAB Type Physician Office
Facility Name FRESH START BEHAVIORAL HEALTH
Street 6929 NORTH MAIN STREET
City DAYTON
State OH
ZIP 45414
Phone 9372479102
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director MS. JANETTE CARPENTER

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This page was last updated on: 5/18/2026