36D1048059 CLIA NUMBER - ULTIMATE HOME HEALTHCARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 36D1048059
  • Facility Name: ULTIMATE HOME HEALTHCARE SERVICES, INC
  • Facility Address: 7656 SLATE RIDGE BLVD
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 868-6970
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMBA TANDANPOLIE
  • NPI Number: 1932645611
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D1048059
LAB Type Home Health Agency
Facility Name ULTIMATE HOME HEALTHCARE SERVICES, INC
Street 7656 SLATE RIDGE BLVD
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 868-6970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Home Health Agency
Lab Director TAMBA TANDANPOLIE

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