49D0877624 CLIA NUMBER - BUCHANAN GENERAL HOSPITAL HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 49D0877624
  • Facility Name: BUCHANAN GENERAL HOSPITAL HOME HEALTH AGENCY
  • Facility Address: 1535 SLATE CREEK ROAD
    GRUNDY, VA
    ZIP 24614
  • Facility Phone: 276 935-1509
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARY MATNEY
  • NPI Number: 1881690550
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D0877624
LAB Type Home Health Agency
Facility Name BUCHANAN GENERAL HOSPITAL HOME HEALTH AGENCY
Street 1535 SLATE CREEK ROAD
City GRUNDY
State VA
ZIP 24614
Phone 276 935-1509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Home Health Agency
Lab Director MARY MATNEY

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