36D2035519 CLIA NUMBER - ADVANCE HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 36D2035519
  • Facility Name: ADVANCE HOME CARE LLC
  • Facility Address: 1191 SOUTH JAMES RD
    COLUMBUS, OH
    ZIP 43227
  • Facility Phone: 614 436-3611
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SAED M. MOHAMED
  • NPI Number: 1174810055
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2035519
LAB Type Home Health Agency
Facility Name ADVANCE HOME CARE LLC
Street 1191 SOUTH JAMES RD
City COLUMBUS
State OH
ZIP 43227
Phone 614 436-3611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Home Health Agency
Lab Director SAED M. MOHAMED

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