49D2174505 CLIA NUMBER - HILLSIDE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 49D2174505
  • Facility Name: HILLSIDE HOSPICE, LLC
  • Facility Address: 118 CREEKSIDE LN
    WINCHESTER, VA
    ZIP 22602
  • Facility Phone: 540 450-8680
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KELLY FEDERLE
  • NPI Number: 1841849783
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2174505
LAB Type Hospice
Facility Name HILLSIDE HOSPICE, LLC
Street 118 CREEKSIDE LN
City WINCHESTER
State VA
ZIP 22602
Phone 540 450-8680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Hospice
Lab Director KELLY FEDERLE

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