36D0957046 CLIA NUMBER - PRIVATE DUTY SERVICES INC

Laboratory Demographics

  • CLIA Code: 36D0957046
  • Facility Name: PRIVATE DUTY SERVICES INC
  • Facility Address: 1157 WESTWOOD DRIVE
    VAN WERT, OH
    ZIP 45891
  • Facility Phone: 419 238-3714
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PEGGY CARNAHAN
  • NPI Number: 1558564369
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D0957046
LAB Type Home Health Agency
Facility Name PRIVATE DUTY SERVICES INC
Street 1157 WESTWOOD DRIVE
City VAN WERT
State OH
ZIP 45891
Phone 419 238-3714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Home Health Agency
Lab Director PEGGY CARNAHAN

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