36D2178373 CLIA NUMBER - VAKOLANE HOME HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 36D2178373

Facility Name: VAKOLANE HOME HEALTHCARE, LLC

Facility Address:
453 WATERBURY COURT
COLUMBUS, OH
ZIP 43230
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Facility Phone Number: 614 699-2969

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1952894990

Taxonomy: 163WP0809X - Registered Nurse

CLIA Record

Field Name	Field Value
CLIA Number	36D2178373
LAB Type	Home Health Agency
Facility Name	VAKOLANE HOME HEALTHCARE, LLC
Street	453 WATERBURY COURT
City	COLUMBUS
State	OH
ZIP	43230
Phone	614 699-2969
CertificateType	4
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024