36D2268902 CLIA NUMBER - JOURNEY 4 SELF, LLC

Laboratory Demographics

  • CLIA Code: 36D2268902
  • Facility Name: JOURNEY 4 SELF, LLC
  • Facility Address: 121 E NORTH STREET
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 902-2183
  • Facility Type: Other - MH/ADDICTION SVCS
  • Facility Type: Waiver
  • Lab Director: DAWN E. GRIFFITH
  • NPI Number: 1720560907
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 36D2268902
LAB Type Other - MH/ADDICTION SVCS
Facility Name JOURNEY 4 SELF, LLC
Street 121 E NORTH STREET
City SIDNEY
State OH
ZIP 45365
Phone 937 902-2183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Other - MH/ADDICTION SVCS
Lab Director DAWN E. GRIFFITH

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