36D2242312 CLIA NUMBER - CARELINE HOH100 LLC

Laboratory Demographics

  • CLIA Code: 36D2242312
  • Facility Name: CARELINE HOH100 LLC
  • Facility Address: 3550 BRIARFIELD BLVD SUITE 300
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 517 212-9000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHANNON BURD
  • NPI Number: 1306414826
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2242312
LAB Type Hospice
Facility Name CARELINE HOH100 LLC
Street 3550 BRIARFIELD BLVD SUITE 300
City MAUMEE
State OH
ZIP 43537
Phone 517 212-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Hospice
Lab Director SHANNON BURD

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