36D2064827 CLIA NUMBER - RESIDENTIAL HOSPICE OF NW OH

Laboratory Demographics

  • CLIA Code: 36D2064827
  • Facility Name: RESIDENTIAL HOSPICE OF NW OH
  • Facility Address: 1745 INDIAN WOOD CIRCLE, STE 252
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 567 218-2075
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WENDY BONGERO
  • NPI Number: 1649482621
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2064827
LAB Type Hospice
Facility Name RESIDENTIAL HOSPICE OF NW OH
Street 1745 INDIAN WOOD CIRCLE, STE 252
City MAUMEE
State OH
ZIP 43537
Phone 567 218-2075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Hospice
Lab Director WENDY BONGERO

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