36D1041329 CLIA NUMBER - HOSPICE CARE OF MIDDLETOWN INC

Laboratory Demographics

CLIA Number: 36D1041329

Facility Name: HOSPICE CARE OF MIDDLETOWN INC

Facility Address:
4418 LEWIS STREET SUITE B
MIDDLETOWN, OH
ZIP 45044
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Facility Phone Number: 513 424-2273

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1528175304

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	36D1041329
LAB Type	Hospice
Facility Name	HOSPICE CARE OF MIDDLETOWN INC
Street	4418 LEWIS STREET SUITE B
City	MIDDLETOWN
State	OH
ZIP	45044
Phone	513 424-2273
CertificateType	4
CertificateEffectiveDate	5/31/2023
CertificateExpirationDate	5/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024