18D2241701 CLIA NUMBER - AT HOME VISIT, PLLC

Laboratory Demographics

  • CLIA Code: 18D2241701
  • Facility Name: AT HOME VISIT, PLLC
  • Facility Address: 201 E MAIN ST STE 1
    GRAYSON, KY
    ZIP 41143
  • Facility Phone: 606 475-0014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. NATAHANA D. HALL
  • NPI Number: 1629692298
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2241701
LAB Type Physician Office
Facility Name AT HOME VISIT, PLLC
Street 201 E MAIN ST STE 1
City GRAYSON
State KY
ZIP 41143
Phone 606 475-0014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director MS. NATAHANA D. HALL

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