49D1020918 CLIA NUMBER - INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 49D1020918
  • Facility Name: INTERIM HEALTHCARE
  • Facility Address: 710 WEST RIDGE ROAD - SUITE 1
    WYTHEVILLE, VA
    ZIP 24382
  • Facility Phone: 276 200-2606
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHANNON F. MUSICK
  • NPI Number: 1407806490
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D1020918
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE
Street 710 WEST RIDGE ROAD - SUITE 1
City WYTHEVILLE
State VA
ZIP 24382
Phone 276 200-2606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Home Health Agency
Lab Director SHANNON F. MUSICK

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