36D2302947 CLIA NUMBER - CONSTELLATION HOSPICE

Laboratory Demographics

  • CLIA Code: 36D2302947
  • Facility Name: CONSTELLATION HOSPICE
  • Facility Address: 1929 GREGORY LANE
    CINCINNATI, OH
    ZIP 45206
  • Facility Phone: 513 504-4987
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHAEL BUXBAUM
  • NPI Number: 1477307940
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2302947
LAB Type Home Health Agency
Facility Name CONSTELLATION HOSPICE
Street 1929 GREGORY LANE
City CINCINNATI
State OH
ZIP 45206
Phone 513 504-4987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Home Health Agency
Lab Director MICHAEL BUXBAUM

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