49D2102519 CLIA NUMBER - VALLEY RIDGE HOME HEALTH LLC

Laboratory Demographics

CLIA Number: 49D2102519

Facility Name: VALLEY RIDGE HOME HEALTH LLC

Facility Address:
53B WEST MAIN STREET
CHRISTIANSBURG, VA
ZIP 24073
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Facility Phone Number: 540 443-6111

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1598383309

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 49D2102519
LAB Type Home Health Agency
Facility Name VALLEY RIDGE HOME HEALTH LLC
Street 53B WEST MAIN STREET
City CHRISTIANSBURG
State VA
ZIP 24073
Phone 540 443-6111
CertificateType 4
CertificateEffectiveDate 9/24/2023
CertificateExpirationDate 9/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024