36D0931489 CLIA NUMBER - VALLEY HOSPICE INC

Laboratory Demographics

  • CLIA Code: 36D0931489
  • Facility Name: VALLEY HOSPICE INC
  • Facility Address: 10686 STATE ROUTE 150
    RAYLAND, OH
    ZIP 43943
  • Facility Phone: 740 859-5650
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TERA NEWBOLD
  • NPI Number: 1972025641
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Hospice
Lab Director TERA NEWBOLD

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