36D2308783 CLIA NUMBER - DOVE RECOVERY

Laboratory Demographics

  • CLIA Code: 36D2308783
  • Facility Name: DOVE RECOVERY
  • Facility Address: 6707 AVERY MUIRFIELD DR
    DUBLIN, OH
    ZIP 43017
  • Facility Phone: 614 649-6050
  • Facility Type: Other - OUTPT SUD CENTER
  • Facility Type: Waiver
  • Lab Director: RAYMOND T. TACKETT
  • NPI Number: 1104513670
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2308783
LAB Type Other - OUTPT SUD CENTER
Facility Name DOVE RECOVERY
Street 6707 AVERY MUIRFIELD DR
City DUBLIN
State OH
ZIP 43017
Phone 614 649-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Other - OUTPT SUD CENTER
Lab Director RAYMOND T. TACKETT

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