49D1096054 CLIA NUMBER - COMMONWEALTH HEALTHCARE, LLC LEGACY HOSPICE

Laboratory Demographics

  • CLIA Code: 49D1096054
  • Facility Name: COMMONWEALTH HEALTHCARE, LLC LEGACY HOSPICE
  • Facility Address: 650 PETER JEFFERSON PARKWAY, STE 310
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: 434 970-7776
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOHN B. HUNTER
  • NPI Number: 1740430263
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D1096054
LAB Type Hospice
Facility Name COMMONWEALTH HEALTHCARE, LLC LEGACY HOSPICE
Street 650 PETER JEFFERSON PARKWAY, STE 310
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 434 970-7776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Hospice
Lab Director JOHN B. HUNTER

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