36D1023866 CLIA NUMBER - HEALTHPRO HOME CARE

Laboratory Demographics

  • CLIA Code: 36D1023866
  • Facility Name: HEALTHPRO HOME CARE
  • Facility Address: 950 SUITE H TAYLOR STATION ROAD
    GAHANNA, OH
    ZIP 43230
  • Facility Phone: 614 864-7340
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANDY J. RUSS
  • NPI Number: 1396771572
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D1023866
LAB Type Home Health Agency
Facility Name HEALTHPRO HOME CARE
Street 950 SUITE H TAYLOR STATION ROAD
City GAHANNA
State OH
ZIP 43230
Phone 614 864-7340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Home Health Agency
Lab Director ANDY J. RUSS

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