49D0996496 CLIA NUMBER - INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 49D0996496
  • Facility Name: INTERIM HEALTHCARE
  • Facility Address: 516 S INDEPENDENCE BOULEVARD - SUITE 106
    VIRGINIA BEACH, VA
    ZIP 23452
  • Facility Phone: 757 466-1401
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAVID L. HASLUP
  • NPI Number: 1073530846
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D0996496
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE
Street 516 S INDEPENDENCE BOULEVARD - SUITE 106
City VIRGINIA BEACH
State VA
ZIP 23452
Phone 757 466-1401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Home Health Agency
Lab Director DAVID L. HASLUP

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This page was last updated on: 6/4/2025