07D0096365 CLIA NUMBER - VISITING NURSES OF THE LOWER VALLEY

Laboratory Demographics

CLIA Number: 07D0096365

Facility Name: VISITING NURSES OF THE LOWER VALLEY

Facility Address:
61 MAIN STREET, NUMBER 5
CENTERBROOK, CT
ZIP 06409
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Facility Phone Number: 860 767-0186

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1508872151

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 07D0096365
LAB Type Home Health Agency
Facility Name VISITING NURSES OF THE LOWER VALLEY
Street 61 MAIN STREET, NUMBER 5
City CENTERBROOK
State CT
ZIP 06409
Phone 860 767-0186
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024