49D1025140 CLIA NUMBER - PERSONAL HOMECARE, INC

Laboratory Demographics

  • CLIA Code: 49D1025140
  • Facility Name: PERSONAL HOMECARE, INC
  • Facility Address: 425 MAIN STREET
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: 434 572-1582
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRENDA CONNER, RN
  • NPI Number: 1114006962
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 49D1025140
LAB Type Home Health Agency
Facility Name PERSONAL HOMECARE, INC
Street 425 MAIN STREET
City SOUTH BOSTON
State VA
ZIP 24592
Phone 434 572-1582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Home Health Agency
Lab Director BRENDA CONNER, RN

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