34D0893394 CLIA NUMBER - LIBERTY HOME CARE V, LLC - MT AIRY

Laboratory Demographics

  • CLIA Code: 34D0893394
  • Facility Name: LIBERTY HOME CARE V, LLC - MT AIRY
  • Facility Address: 336 NORTH SOUTH STREET
    MT AIRY, NC
    ZIP 27030
  • Facility Phone: 336 719-7434
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARY HUBBARD
  • NPI Number: 1770717894
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 34D0893394
LAB Type Home Health Agency
Facility Name LIBERTY HOME CARE V, LLC - MT AIRY
Street 336 NORTH SOUTH STREET
City MT AIRY
State NC
ZIP 27030
Phone 336 719-7434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Home Health Agency
Lab Director MARY HUBBARD

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