49D2036809 CLIA NUMBER - MEDI HOME HEALTH AGENCY, INC DBA MEDI HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 49D2036809
  • Facility Name: MEDI HOME HEALTH AGENCY, INC DBA MEDI HOME HEALTH AGENCY
  • Facility Address: 11832 ROCK LANDING DR SUITE 209
    NEWPORT NEWS, VA
    ZIP 23606
  • Facility Phone: 803 957-0500
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MIA MORMAN-ROSENBAUM
  • NPI Number: 1942312012
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2036809
LAB Type Home Health Agency
Facility Name MEDI HOME HEALTH AGENCY, INC DBA MEDI HOME HEALTH AGENCY
Street 11832 ROCK LANDING DR SUITE 209
City NEWPORT NEWS
State VA
ZIP 23606
Phone 803 957-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Home Health Agency
Lab Director MIA MORMAN-ROSENBAUM

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