36D2104638 CLIA NUMBER - HEARTLAND HOSPICE SERVICES LLC DBA HEARTLAND HOME HEALTH CARE AND HOSPICE

Laboratory Demographics

  • CLIA Code: 36D2104638
  • Facility Name: HEARTLAND HOSPICE SERVICES LLC DBA HEARTLAND HOME HEALTH CARE AND HOSPICE
  • Facility Address: 116 MORRIS ROAD SUITE B
    CIRCLEVILLE, OH
    ZIP 43113
  • Facility Phone: 740 420-0605
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: THOMAS ANDERSON
  • NPI Number: 1730822537
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2104638
LAB Type Hospice
Facility Name HEARTLAND HOSPICE SERVICES LLC DBA HEARTLAND HOME HEALTH CARE AND HOSPICE
Street 116 MORRIS ROAD SUITE B
City CIRCLEVILLE
State OH
ZIP 43113
Phone 740 420-0605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Hospice
Lab Director THOMAS ANDERSON

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