36D2312472 CLIA NUMBER - NORTHSTAR HOME HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 36D2312472
  • Facility Name: NORTHSTAR HOME HOSPICE, LLC
  • Facility Address: 7265 KENWOOD ROAD, SUITE 250
    CINCINNATI, OH
    ZIP 45236
  • Facility Phone: 513 587-1990
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA HANSEN
  • NPI Number: 1598067977
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2312472
LAB Type Hospice
Facility Name NORTHSTAR HOME HOSPICE, LLC
Street 7265 KENWOOD ROAD, SUITE 250
City CINCINNATI
State OH
ZIP 45236
Phone 513 587-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Hospice
Lab Director LISA HANSEN

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