36D2218538 CLIA NUMBER - CRYSTAL HERITAGE CARE

Laboratory Demographics

  • CLIA Code: 36D2218538
  • Facility Name: CRYSTAL HERITAGE CARE
  • Facility Address: 1105 SCHROCK ROAD, SUITE 516
    COLUMBUS, OH
    ZIP 43229
  • Facility Phone: 614 468-1199
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHELE WHALEY
  • NPI Number: 1154987717
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2218538
LAB Type Home Health Agency
Facility Name CRYSTAL HERITAGE CARE
Street 1105 SCHROCK ROAD, SUITE 516
City COLUMBUS
State OH
ZIP 43229
Phone 614 468-1199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Home Health Agency
Lab Director MICHELE WHALEY

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