36D2025507 CLIA NUMBER - PHILEMON HOME HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 36D2025507
  • Facility Name: PHILEMON HOME HEALTH CARE LLC
  • Facility Address: 81 MILL STREET SUITE 300, OFFICE #118
    GAHANNA, OH
    ZIP 43230
  • Facility Phone: 614 414-7911
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MAHLET B. WOLDESEMAYAT
  • NPI Number: 1982928339
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2025507
LAB Type Home Health Agency
Facility Name PHILEMON HOME HEALTH CARE LLC
Street 81 MILL STREET SUITE 300, OFFICE #118
City GAHANNA
State OH
ZIP 43230
Phone 614 414-7911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Home Health Agency
Lab Director MAHLET B. WOLDESEMAYAT

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