36D2299690 CLIA NUMBER - SAFE PLACE THERAPEUTICS LLC

Laboratory Demographics

  • CLIA Code: 36D2299690
  • Facility Name: SAFE PLACE THERAPEUTICS LLC
  • Facility Address: 2131 N LIMESTONE STREET
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 688-0952
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EPIE AJEBE
  • NPI Number: 1912768953
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 36D2299690
LAB Type Physician Office
Facility Name SAFE PLACE THERAPEUTICS LLC
Street 2131 N LIMESTONE STREET
City SPRINGFIELD
State OH
ZIP 45503
Phone 937 688-0952
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director EPIE AJEBE

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