36D2174152 CLIA NUMBER - CLINIC SECURITY AND LOGISTICS, INC DBA FULL CIRCLE

Laboratory Demographics

  • CLIA Code: 36D2174152
  • Facility Name: CLINIC SECURITY AND LOGISTICS, INC DBA FULL CIRCLE
  • Facility Address: 4977 NORTHCUTT PLACE
    DAYTON, OH
    ZIP 45414
  • Facility Phone: 937 387-6395
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RICHARD NOCKOWITZ
  • NPI Number: 1215428016
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2174152
LAB Type Practitioner Other
Facility Name CLINIC SECURITY AND LOGISTICS, INC DBA FULL CIRCLE
Street 4977 NORTHCUTT PLACE
City DAYTON
State OH
ZIP 45414
Phone 937 387-6395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Practitioner Other
Lab Director RICHARD NOCKOWITZ

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