36D2240336 CLIA NUMBER - PEACEFUL HOME HEALTHCARE LLC

Laboratory Demographics

CLIA Code: 36D2240336
Facility Name: PEACEFUL HOME HEALTHCARE LLC
Facility Address: 2021 E DUBLIN GRANVILLE RD
COLUMBUS, OH
ZIP 43229
Facility Phone: 614 845-7684
Facility Type: Home Health Agency
Facility Type: Waiver
Lab Director: SAHRO G. AHMED
NPI Number: 1811261571
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	36D2240336
LAB Type	Home Health Agency
Facility Name	PEACEFUL HOME HEALTHCARE LLC
Street	2021 E DUBLIN GRANVILLE RD
City	COLUMBUS
State	OH
ZIP	43229
Phone	614 845-7684
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/19/2023
Certificate Expiration Date	10/18/2025
Facility Type	Home Health Agency
Lab Director	SAHRO G. AHMED

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