36D2319634 CLIA NUMBER - TOTAL MIND AND RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 36D2319634
  • Facility Name: TOTAL MIND AND RECOVERY, LLC
  • Facility Address: 82 N BREIEL BLVD
    MIDDLETOWN, OH
    ZIP 45042
  • Facility Phone: 513 433-1042
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: FRANKLIN D. WYLIE JR
  • NPI Number: 1831906759
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2319634
LAB Type Practitioner Other
Facility Name TOTAL MIND AND RECOVERY, LLC
Street 82 N BREIEL BLVD
City MIDDLETOWN
State OH
ZIP 45042
Phone 513 433-1042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Practitioner Other
Lab Director FRANKLIN D. WYLIE JR

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