36D2196679 CLIA NUMBER - HODAN MERCY HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2196679
  • Facility Name: HODAN MERCY HOME CARE, LLC
  • Facility Address: 12800 SHAKER BLVD, SUITE 240D
    CLEVELAND, OH
    ZIP 44120
  • Facility Phone: 216 751-0159
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER LYNN WRIGHT
  • NPI Number: 1992072961
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2196679
LAB Type Home Health Agency
Facility Name HODAN MERCY HOME CARE, LLC
Street 12800 SHAKER BLVD, SUITE 240D
City CLEVELAND
State OH
ZIP 44120
Phone 216 751-0159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Home Health Agency
Lab Director JENNIFER LYNN WRIGHT

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