36D2113137 CLIA NUMBER - MOUNT CARMEL HOSPICE & PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 36D2113137
  • Facility Name: MOUNT CARMEL HOSPICE & PALLIATIVE CARE
  • Facility Address: 777 W STATE ST, STE 501
    COLUMBUS, OH
    ZIP 43222
  • Facility Phone: (614) 234-0200
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIELLE ANTONAROS
  • NPI Number: 1689801953
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2113137
LAB Type Hospice
Facility Name MOUNT CARMEL HOSPICE & PALLIATIVE CARE
Street 777 W STATE ST, STE 501
City COLUMBUS
State OH
ZIP 43222
Phone 6142340200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2026
Certificate Expiration Date 5/16/2028
Facility Type Hospice
Lab Director DANIELLE ANTONAROS

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This page was last updated on: 5/18/2026