36D1079832 CLIA NUMBER - MILLENIUM NURSING AGENCY

Laboratory Demographics

  • CLIA Code: 36D1079832
  • Facility Name: MILLENIUM NURSING AGENCY
  • Facility Address: 130 TRI COUNTY PKWY STE 215
    SPRINGDALE, OH
    ZIP 45246
  • Facility Phone: (513) 825-9080
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANNE O. AGOBA
  • NPI Number: 1124376439
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D1079832
LAB Type Home Health Agency
Facility Name MILLENIUM NURSING AGENCY
Street 130 TRI COUNTY PKWY STE 215
City SPRINGDALE
State OH
ZIP 45246
Phone 5138259080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2026
Certificate Expiration Date 2/6/2028
Facility Type Home Health Agency
Lab Director ANNE O. AGOBA

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