36D1031819 CLIA NUMBER - EBE HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 36D1031819
  • Facility Name: EBE HEALTHCARE LLC
  • Facility Address: 467 WATERBURY CT
    GAHANNA, OH
    ZIP 43230
  • Facility Phone: 614 414-0054
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GUOHONG R. SHAO
  • NPI Number: 1821101601
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D1031819
LAB Type Home Health Agency
Facility Name EBE HEALTHCARE LLC
Street 467 WATERBURY CT
City GAHANNA
State OH
ZIP 43230
Phone 614 414-0054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Home Health Agency
Lab Director GUOHONG R. SHAO

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