49D2206259 CLIA NUMBER - AT HOME CARE STAFFING, RICHMOND OFFICE

Laboratory Demographics

  • CLIA Code: 49D2206259
  • Facility Name: AT HOME CARE STAFFING, RICHMOND OFFICE
  • Facility Address: 5700 OLD RICHMOND AV SUITE D18
    RICHMOND, VA
    ZIP 23226
  • Facility Phone: 804 358-0631
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JONATHAN M. EVANS
  • NPI Number: 1336153162
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2206259
LAB Type Home Health Agency
Facility Name AT HOME CARE STAFFING, RICHMOND OFFICE
Street 5700 OLD RICHMOND AV SUITE D18
City RICHMOND
State VA
ZIP 23226
Phone 804 358-0631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Home Health Agency
Lab Director JONATHAN M. EVANS

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