36D1068834 CLIA NUMBER - ADVANCED SENIOR SUPPORT MEDICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 36D1068834
  • Facility Name: ADVANCED SENIOR SUPPORT MEDICAL SERVICES LLC
  • Facility Address: 855 S SUNBURY ROAD SUITE 206
    WESTERVILLE, OH
    ZIP 43081
  • Facility Phone: 614 891-7480
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RONALD J. PAUL
  • NPI Number: 1841448354
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 36D1068834
LAB Type Home Health Agency
Facility Name ADVANCED SENIOR SUPPORT MEDICAL SERVICES LLC
Street 855 S SUNBURY ROAD SUITE 206
City WESTERVILLE
State OH
ZIP 43081
Phone 614 891-7480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Home Health Agency
Lab Director RONALD J. PAUL

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