36D1019346 CLIA NUMBER - ADVANTAGE SKILLED CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D1019346
  • Facility Name: ADVANTAGE SKILLED CARE, LLC
  • Facility Address: 4292 OLD SCIOTO TRAIL
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 354-5671
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANNA RAYBURN
  • NPI Number: 1891796850
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D1019346
LAB Type Home Health Agency
Facility Name ADVANTAGE SKILLED CARE, LLC
Street 4292 OLD SCIOTO TRAIL
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 354-5671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Home Health Agency
Lab Director ANNA RAYBURN

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