36D0890800 CLIA NUMBER - INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 36D0890800
  • Facility Name: INTERIM HEALTHCARE
  • Facility Address: 4130 GALLIA STREET
    NEW BOSTON, OH
    ZIP 45662
  • Facility Phone: 740 354-5550
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MELISSA WILLIAMS RN
  • NPI Number: 1407931579
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D0890800
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE
Street 4130 GALLIA STREET
City NEW BOSTON
State OH
ZIP 45662
Phone 740 354-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Home Health Agency
Lab Director MELISSA WILLIAMS RN

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