49D0690881 CLIA NUMBER - NINE PALMS 1, LLC DBA BROOKSIDE HOME HEALTH AN AMEDISYS COMPANY

Laboratory Demographics

  • CLIA Code: 49D0690881
  • Facility Name: NINE PALMS 1, LLC DBA BROOKSIDE HOME HEALTH AN AMEDISYS COMPANY
  • Facility Address: 460 MCLAWS CIRCLE - SUITE 250
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 253-2536
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRENDA DILE
  • NPI Number: 1518912377
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D0690881
LAB Type Home Health Agency
Facility Name NINE PALMS 1, LLC DBA BROOKSIDE HOME HEALTH AN AMEDISYS COMPANY
Street 460 MCLAWS CIRCLE - SUITE 250
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 253-2536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director BRENDA DILE

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