36D2204639 CLIA NUMBER - SPIRIT HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 36D2204639
  • Facility Name: SPIRIT HOSPICE LLC
  • Facility Address: 8849 BROOKSIDE AVE SUITE 101
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 772-0575
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SAJJAD A. KHAN
  • NPI Number: 1881217271
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2204639
LAB Type Hospice
Facility Name SPIRIT HOSPICE LLC
Street 8849 BROOKSIDE AVE SUITE 101
City WEST CHESTER
State OH
ZIP 45069
Phone 513 772-0575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Hospice
Lab Director SAJJAD A. KHAN

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