49D2158158 CLIA NUMBER - ATHC - HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 49D2158158
  • Facility Name: ATHC - HOSPICE, LLC
  • Facility Address: 131 TEMPLE LAKE DRIVE, SUITE 2
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: 804 520-7766
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HANNAH DAVIS
  • NPI Number: 1174098966
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2158158
LAB Type Hospice
Facility Name ATHC - HOSPICE, LLC
Street 131 TEMPLE LAKE DRIVE, SUITE 2
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 804 520-7766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Hospice
Lab Director HANNAH DAVIS

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