49D2050164 CLIA NUMBER - CENTRA SOUTHSIDE COMMUNITY HOSPITAL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 49D2050164
  • Facility Name: CENTRA SOUTHSIDE COMMUNITY HOSPITAL HOME HEALTH
  • Facility Address: 1705 EAST 3RD STREET
    FARMVILLE, VA
    ZIP 23901
  • Facility Phone: 434 315-5000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HEATHER R. WEEKS
  • NPI Number: 1730596933
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 49D2050164
LAB Type Home Health Agency
Facility Name CENTRA SOUTHSIDE COMMUNITY HOSPITAL HOME HEALTH
Street 1705 EAST 3RD STREET
City FARMVILLE
State VA
ZIP 23901
Phone 434 315-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Home Health Agency
Lab Director HEATHER R. WEEKS

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This page was last updated on: 3/20/2025