36D2055591 CLIA NUMBER - PRIME HHA, LLC

Laboratory Demographics

  • CLIA Code: 36D2055591
  • Facility Name: PRIME HHA, LLC
  • Facility Address: 3454 OAK ALLEY CT SUITE 500
    TOLEDO, OH
    ZIP 43606
  • Facility Phone: 419 535-1414
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARINA JENNINGS
  • NPI Number: 1316358740
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2055591
LAB Type Home Health Agency
Facility Name PRIME HHA, LLC
Street 3454 OAK ALLEY CT SUITE 500
City TOLEDO
State OH
ZIP 43606
Phone 419 535-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Home Health Agency
Lab Director MARINA JENNINGS

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