36D2073289 CLIA NUMBER - LHCG XCI, LLC DBA PLEASANT VALLEY HOME HEALTH

Laboratory Demographics

  • CLIA Code: 36D2073289
  • Facility Name: LHCG XCI, LLC DBA PLEASANT VALLEY HOME HEALTH
  • Facility Address: 300 LODI LANE
    GALLIPOLIS, OH
    ZIP 45631
  • Facility Phone: 740 208-5599
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGELA K. ROSE
  • NPI Number: 1689113300
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2073289
LAB Type Home Health Agency
Facility Name LHCG XCI, LLC DBA PLEASANT VALLEY HOME HEALTH
Street 300 LODI LANE
City GALLIPOLIS
State OH
ZIP 45631
Phone 740 208-5599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Home Health Agency
Lab Director ANGELA K. ROSE

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