49D0958304 CLIA NUMBER - ESPRIT HOME HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 49D0958304
  • Facility Name: ESPRIT HOME HEALTHCARE, LLC
  • Facility Address: 4209 EVERGREEN LANE
    ANNANDALE, VA
    ZIP 22003
  • Facility Phone: 703 998-7400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SENEHIWOT TEFERRA
  • NPI Number: 1578648143
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 49D0958304
LAB Type Home Health Agency
Facility Name ESPRIT HOME HEALTHCARE, LLC
Street 4209 EVERGREEN LANE
City ANNANDALE
State VA
ZIP 22003
Phone 703 998-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Home Health Agency
Lab Director SENEHIWOT TEFERRA

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