22D0695201 CLIA NUMBER - WALPOLE AREA VNA INC

Laboratory Demographics

CLIA Number: 22D0695201

Facility Name: WALPOLE AREA VNA INC

Facility Address:
55 WEST STREET P O BOX 252
WALPOLE, MA
ZIP 02081
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Facility Phone Number: 508 668-1066

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1831649490

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	22D0695201
LAB Type	Home Health Agency
Facility Name	WALPOLE AREA VNA INC
Street	55 WEST STREET P O BOX 252
City	WALPOLE
State	MA
ZIP	02081
Phone	508 668-1066
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

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