34D2159471 CLIA NUMBER - HOME RULE LLC

Laboratory Demographics

  • CLIA Code: 34D2159471
  • Facility Name: HOME RULE LLC
  • Facility Address: 200 1ST AVENUE NW, SUITE 501-503
    HICKORY, NC
    ZIP 28601
  • Facility Phone: 336 422-1658
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMANDA RICHON
  • NPI Number: 1407326010
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 34D2159471
LAB Type Home Health Agency
Facility Name HOME RULE LLC
Street 200 1ST AVENUE NW, SUITE 501-503
City HICKORY
State NC
ZIP 28601
Phone 336 422-1658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Home Health Agency
Lab Director AMANDA RICHON

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