49D0914698 CLIA NUMBER - INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 49D0914698
  • Facility Name: INTERIM HEALTHCARE
  • Facility Address: 103 SOUTH PANTOPS DR SUITE 205
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: 804 295-5501
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAVID L. HASLUP
  • NPI Number: 1225068190
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D0914698
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE
Street 103 SOUTH PANTOPS DR SUITE 205
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 804 295-5501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Home Health Agency
Lab Director DAVID L. HASLUP

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