49D2042556 CLIA NUMBER - LHCG CXCIX, LLC DBA FREDA H GORDON HOSPICE

Laboratory Demographics

  • CLIA Code: 49D2042556
  • Facility Name: LHCG CXCIX, LLC DBA FREDA H GORDON HOSPICE
  • Facility Address: 6477 COLLEGE PARK SQUARE SUITE 312
    VIRGINIA BEACH, VA
    ZIP 23464
  • Facility Phone: 757 321-2242
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KRYSTLE GULDNER
  • NPI Number: 1881261139
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2042556
LAB Type Hospice
Facility Name LHCG CXCIX, LLC DBA FREDA H GORDON HOSPICE
Street 6477 COLLEGE PARK SQUARE SUITE 312
City VIRGINIA BEACH
State VA
ZIP 23464
Phone 757 321-2242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Hospice
Lab Director KRYSTLE GULDNER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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