36D0931489 CLIA NUMBER - VALLEY HOSPICE INC

Laboratory Demographics

CLIA Number: 36D0931489

Facility Name: VALLEY HOSPICE INC

Facility Address:
10686 STATE ROUTE 150
RAYLAND, OH
ZIP 43943
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Facility Phone Number: 740 859-5650

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1972025641

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	36D0931489
LAB Type	Hospice
Facility Name	VALLEY HOSPICE INC
Street	10686 STATE ROUTE 150
City	RAYLAND
State	OH
ZIP	43943
Phone	740 859-5650
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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