36D2271241 CLIA NUMBER - CRESCENT HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2271241
  • Facility Name: CRESCENT HOME CARE, LLC
  • Facility Address: 6161 BUSCH BLVD STE 304
    COLUMBUS, OH
    ZIP 43229
  • Facility Phone: 614 260-6617
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MR. ABDULQADIR SHIRDON
  • NPI Number: 1306429105
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2271241
LAB Type Home Health Agency
Facility Name CRESCENT HOME CARE, LLC
Street 6161 BUSCH BLVD STE 304
City COLUMBUS
State OH
ZIP 43229
Phone 614 260-6617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Home Health Agency
Lab Director MR. ABDULQADIR SHIRDON

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