49D2214337 CLIA NUMBER - CRATER COMMUNITY HOSPICE

Laboratory Demographics

  • CLIA Code: 49D2214337
  • Facility Name: CRATER COMMUNITY HOSPICE
  • Facility Address: 3916 S CRATER ROAD
    PETERSBURG, VA
    ZIP 23805
  • Facility Phone: 804 526-4300
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ZACH HOLT
  • NPI Number: 1962407700
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2214337
LAB Type Hospice
Facility Name CRATER COMMUNITY HOSPICE
Street 3916 S CRATER ROAD
City PETERSBURG
State VA
ZIP 23805
Phone 804 526-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Hospice
Lab Director ZACH HOLT

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