44D2172366 CLIA NUMBER - LHCG XCVI, LLC DBA BAPTIST MEMORIAL HOME CARE & HOSPICE

Laboratory Demographics

  • CLIA Code: 44D2172366
  • Facility Name: LHCG XCVI, LLC DBA BAPTIST MEMORIAL HOME CARE & HOSPICE
  • Facility Address: 641 RB WILSON DRIVE SUITE E
    HUNTINGDON, TN
    ZIP 38344
  • Facility Phone: 731 986-3220
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANGELA CASSIDY
  • NPI Number: 1659807873
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 44D2172366
LAB Type Hospice
Facility Name LHCG XCVI, LLC DBA BAPTIST MEMORIAL HOME CARE & HOSPICE
Street 641 RB WILSON DRIVE SUITE E
City HUNTINGDON
State TN
ZIP 38344
Phone 731 986-3220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Hospice
Lab Director ANGELA CASSIDY

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