49D1089118 CLIA NUMBER - MAXIM HEALTHCARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 49D1089118
  • Facility Name: MAXIM HEALTHCARE SERVICES, INC
  • Facility Address: 406 WEST MAIN STREET, 2ND FLOOR
    ABINGDON, VA
    ZIP 24210
  • Facility Phone: 276 619-5106
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER M. JOHNSON
  • NPI Number: 1629233341
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D1089118
LAB Type Home Health Agency
Facility Name MAXIM HEALTHCARE SERVICES, INC
Street 406 WEST MAIN STREET, 2ND FLOOR
City ABINGDON
State VA
ZIP 24210
Phone 276 619-5106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Home Health Agency
Lab Director JENNIFER M. JOHNSON

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