36D1106933 CLIA NUMBER - PRIME HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D1106933
  • Facility Name: PRIME HOME CARE, LLC
  • Facility Address: 11305 REED HARTMAN HIGHWAY, SUITE 219
    BLUE ASH, OH
    ZIP 45241
  • Facility Phone: 513 770-0501
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. JEANNE PAREJA
  • NPI Number: 1215163076
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D1106933
LAB Type Home Health Agency
Facility Name PRIME HOME CARE, LLC
Street 11305 REED HARTMAN HIGHWAY, SUITE 219
City BLUE ASH
State OH
ZIP 45241
Phone 513 770-0501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Home Health Agency
Lab Director MS. JEANNE PAREJA

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