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36D1047625 CLIA NUMBER - DIVERSIFIED HEALTH MANAGEMENT

Laboratory Demographics

CLIA Number: 36D1047625

Facility Name: DIVERSIFIED HEALTH MANAGEMENT

Facility Address:
3569 REFUGEE ROAD SUITE C
COLUMBUS, OH
ZIP 43232
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Facility Phone Number: 614 338-8888

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1083829501

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 36D1047625
LAB Type Home Health Agency
Facility Name DIVERSIFIED HEALTH MANAGEMENT
Street 3569 REFUGEE ROAD SUITE C
City COLUMBUS
State OH
ZIP 43232
Phone 614 338-8888
CertificateType 4
CertificateEffectiveDate 11/9/2023
CertificateExpirationDate 11/8/2025
FacilityType Waiver

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