49D2180608 CLIA NUMBER - ATHC-HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 49D2180608
  • Facility Name: ATHC-HOSPICE, LLC
  • Facility Address: 1121 HEATHERSTONE DRIVE
    FREDERICKSBURG, VA
    ZIP 22407
  • Facility Phone: 540 322-2981
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HANNAH DAVIS
  • NPI Number: 1114550134
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2180608
LAB Type Hospice
Facility Name ATHC-HOSPICE, LLC
Street 1121 HEATHERSTONE DRIVE
City FREDERICKSBURG
State VA
ZIP 22407
Phone 540 322-2981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Hospice
Lab Director HANNAH DAVIS

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This page was last updated on: 6/4/2025