36D2120439 CLIA NUMBER - QUEEN CITY SKILLED CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2120439
  • Facility Name: QUEEN CITY SKILLED CARE, LLC
  • Facility Address: 7265 KENWOOD RD SUITE 370
    CINCINNATI, OH
    ZIP 45236
  • Facility Phone: 513 623-2408
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROBERT JAMES
  • NPI Number: 1629522206
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2120439
LAB Type Home Health Agency
Facility Name QUEEN CITY SKILLED CARE, LLC
Street 7265 KENWOOD RD SUITE 370
City CINCINNATI
State OH
ZIP 45236
Phone 513 623-2408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Home Health Agency
Lab Director ROBERT JAMES

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