36D2330052 CLIA NUMBER - CRESCENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2330052
  • Facility Name: CRESCENT CARE, LLC
  • Facility Address: 2862 JOHNSTOWN ROAD, SUITE 112
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: 614 852-8488
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SURKA HAJI
  • NPI Number: 1720877533
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2330052
LAB Type Home Health Agency
Facility Name CRESCENT CARE, LLC
Street 2862 JOHNSTOWN ROAD, SUITE 112
City COLUMBUS
State OH
ZIP 43219
Phone 614 852-8488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Home Health Agency
Lab Director SURKA HAJI

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