36D2016812 CLIA NUMBER - COMFORTBROOK HOSPICE LLC DBA GRACE HOSPICE

Laboratory Demographics

  • CLIA Code: 36D2016812
  • Facility Name: COMFORTBROOK HOSPICE LLC DBA GRACE HOSPICE
  • Facility Address: 4435 AICHOLTZ RD, STE 400
    CINCINNATI, OH
    ZIP 45245
  • Facility Phone: 513 458-5545
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RANDY GREENE
  • NPI Number: 1205352051
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2016812
LAB Type Home Health Agency
Facility Name COMFORTBROOK HOSPICE LLC DBA GRACE HOSPICE
Street 4435 AICHOLTZ RD, STE 400
City CINCINNATI
State OH
ZIP 45245
Phone 513 458-5545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Home Health Agency
Lab Director RANDY GREENE

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