36D2028188 CLIA NUMBER - WESLEY HOSPICE

Laboratory Demographics

  • CLIA Code: 36D2028188
  • Facility Name: WESLEY HOSPICE
  • Facility Address: 4588 WESLEY WOODS BLVD, SUITE 2A
    NEW ALBANY, OH
    ZIP 43054
  • Facility Phone: (614) 451-6700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LATASHA S. GOODWIN
  • NPI Number: 1821326125
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2028188
LAB Type Hospice
Facility Name WESLEY HOSPICE
Street 4588 WESLEY WOODS BLVD, SUITE 2A
City NEW ALBANY
State OH
ZIP 43054
Phone 6144516700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Hospice
Lab Director LATASHA S. GOODWIN

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