36D2193884 CLIA NUMBER - AMERICAN PRIMARY HEALTHCARE, LLC

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Laboratory Demographics

CLIA Number: 36D2193884

Facility Name: AMERICAN PRIMARY HEALTHCARE, LLC

Facility Address:
800 CROSS POINTE ROAD SUITE K
GAHANNA, OH
ZIP 43230
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Facility Phone Number: 614 750-9004

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1245860899

Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	36D2193884
LAB Type	Home Health Agency
Facility Name	AMERICAN PRIMARY HEALTHCARE, LLC
Street	800 CROSS POINTE ROAD SUITE K
City	GAHANNA
State	OH
ZIP	43230
Phone	614 750-9004
CertificateType	4
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Waiver

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