36D2156633 CLIA NUMBER - VISTACARE USA, LLC DBA GENTIVA I

Laboratory Demographics

  • CLIA Code: 36D2156633
  • Facility Name: VISTACARE USA, LLC DBA GENTIVA I
  • Facility Address: 2 EASTON OVAL, SUITE 110
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: 614 414-0500
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1366498305
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2156633
LAB Type Hospice
Facility Name VISTACARE USA, LLC DBA GENTIVA I
Street 2 EASTON OVAL, SUITE 110
City COLUMBUS
State OH
ZIP 43219
Phone 614 414-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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