36D2177218 CLIA NUMBER - SEACREST RECOVERY CENTER OHIO, LLC

Laboratory Demographics

  • CLIA Code: 36D2177218
  • Facility Name: SEACREST RECOVERY CENTER OHIO, LLC
  • Facility Address: 6555 BUSCH BLVD #100
    COLUMBUS, OH
    ZIP 43229
  • Facility Phone: 833 762-3711
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD NOCKOWITZ
  • NPI Number: 1780243394
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2177218
LAB Type Comp. Outpatient Rehab Facility
Facility Name SEACREST RECOVERY CENTER OHIO, LLC
Street 6555 BUSCH BLVD #100
City COLUMBUS
State OH
ZIP 43229
Phone 833 762-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director RICHARD NOCKOWITZ

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