36D2330264 CLIA NUMBER - BRISTOL HOSPICE - OHIO LLC DBA BRISTOL HOSPICE - CLEVELAND

Laboratory Demographics

  • CLIA Code: 36D2330264
  • Facility Name: BRISTOL HOSPICE - OHIO LLC DBA BRISTOL HOSPICE - CLEVELAND
  • Facility Address: 5755 GRANGER ROAD, STE 100
    INDEPENDENCE, OH
    ZIP 44131
  • Facility Phone: (216) 350-3350
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ERIN HALBACH
  • NPI Number: 1790661163
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 36D2330264
LAB Type Hospice
Facility Name BRISTOL HOSPICE - OHIO LLC DBA BRISTOL HOSPICE - CLEVELAND
Street 5755 GRANGER ROAD, STE 100
City INDEPENDENCE
State OH
ZIP 44131
Phone 2163503350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Hospice
Lab Director ERIN HALBACH

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This page was last updated on: 6/29/2026