36D2035113 CLIA NUMBER - ULTRACARE PHYSICAL THERAPY LLC DBA HOME HEALTH OF FREMONT

Laboratory Demographics

  • CLIA Code: 36D2035113
  • Facility Name: ULTRACARE PHYSICAL THERAPY LLC DBA HOME HEALTH OF FREMONT
  • Facility Address: 1245 SCHREIER ROAD, SUITE A
    ROSSFORD, OH
    ZIP 43460
  • Facility Phone: 419 578-7360
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AJAYAGHOSH KRISHNAN
  • NPI Number: 1497055305
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2035113
LAB Type Home Health Agency
Facility Name ULTRACARE PHYSICAL THERAPY LLC DBA HOME HEALTH OF FREMONT
Street 1245 SCHREIER ROAD, SUITE A
City ROSSFORD
State OH
ZIP 43460
Phone 419 578-7360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Home Health Agency
Lab Director AJAYAGHOSH KRISHNAN

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