49D1035673 CLIA NUMBER - PREFERRED HOSPICE, INC DBA LEGACY HOSPICE

Laboratory Demographics

  • CLIA Code: 49D1035673
  • Facility Name: PREFERRED HOSPICE, INC DBA LEGACY HOSPICE
  • Facility Address: 1963 SECOND STREET
    RICHLANDS, VA
    ZIP 24641
  • Facility Phone: 276 596-9181
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TAMMIE S. VENCILL
  • NPI Number: 1730293614
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1035673
LAB Type Hospice
Facility Name PREFERRED HOSPICE, INC DBA LEGACY HOSPICE
Street 1963 SECOND STREET
City RICHLANDS
State VA
ZIP 24641
Phone 276 596-9181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Hospice
Lab Director TAMMIE S. VENCILL

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