36D1082285 CLIA NUMBER - CRESCENT HOME HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 36D1082285
  • Facility Name: CRESCENT HOME HEALTH CARE LLC
  • Facility Address: 6161 BUSCH BLVD STE 313
    COLUMBUS, OH
    ZIP 43229
  • Facility Phone: 614 505-7679
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ADEN SHIRDON
  • NPI Number: 1104178524
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1082285
LAB Type Home Health Agency
Facility Name CRESCENT HOME HEALTH CARE LLC
Street 6161 BUSCH BLVD STE 313
City COLUMBUS
State OH
ZIP 43229
Phone 614 505-7679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Home Health Agency
Lab Director ADEN SHIRDON

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