36D1033322 CLIA NUMBER - EASTON HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 36D1033322
  • Facility Name: EASTON HOME CARE LLC
  • Facility Address: 3433 AGLER ROAD #2500
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: (614) 418-5840
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SUBBARAYUDU KOPPERA MD
  • NPI Number: 1497864110
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D1033322
LAB Type Home Health Agency
Facility Name EASTON HOME CARE LLC
Street 3433 AGLER ROAD #2500
City COLUMBUS
State OH
ZIP 43219
Phone 6144185840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Home Health Agency
Lab Director SUBBARAYUDU KOPPERA MD

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This page was last updated on: 5/18/2026