36D0977888 CLIA NUMBER - SOUTHWEST OHIO HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D0977888
  • Facility Name: SOUTHWEST OHIO HOME CARE, LLC
  • Facility Address: 5624 HECKATHORN ROAD
    BROOKVILLE, OH
    ZIP 45309
  • Facility Phone: 937 913-4314
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JANELLE WATTS
  • NPI Number: 1801921853
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D0977888
LAB Type Home Health Agency
Facility Name SOUTHWEST OHIO HOME CARE, LLC
Street 5624 HECKATHORN ROAD
City BROOKVILLE
State OH
ZIP 45309
Phone 937 913-4314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Home Health Agency
Lab Director JANELLE WATTS

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