36D2045294 CLIA NUMBER - EXTENDED LIFE HOME CARE LTD

Laboratory Demographics

  • CLIA Code: 36D2045294
  • Facility Name: EXTENDED LIFE HOME CARE LTD
  • Facility Address: 5560 HILLIARD ROME OFFICE PARK
    HILLIARD, OH
    ZIP 43026
  • Facility Phone: 614 476-4400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JANNON LAMPLEY
  • NPI Number: 1861795262
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2045294
LAB Type Home Health Agency
Facility Name EXTENDED LIFE HOME CARE LTD
Street 5560 HILLIARD ROME OFFICE PARK
City HILLIARD
State OH
ZIP 43026
Phone 614 476-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Home Health Agency
Lab Director JANNON LAMPLEY

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