36D2329285 CLIA NUMBER - 360 WELLNESS CENTER DBA SAFETY-NET THERAPEUTICS

Laboratory Demographics

  • CLIA Code: 36D2329285
  • Facility Name: 360 WELLNESS CENTER DBA SAFETY-NET THERAPEUTICS
  • Facility Address: 1725 EAST THIRD STREET
    DAYTON, OH
    ZIP 45403
  • Facility Phone: 937 310-1269
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: ISAAC CORNEY
  • NPI Number: 1376241745
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2329285
LAB Type Other - BEHAVIORAL HEALTH
Facility Name 360 WELLNESS CENTER DBA SAFETY-NET THERAPEUTICS
Street 1725 EAST THIRD STREET
City DAYTON
State OH
ZIP 45403
Phone 937 310-1269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Other - BEHAVIORAL HEALTH
Lab Director ISAAC CORNEY

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