49D2226986 CLIA NUMBER - HOSPICE PLUS OF VIRGINIA LLC

Laboratory Demographics

CLIA Number: 49D2226986

Facility Name: HOSPICE PLUS OF VIRGINIA LLC

Facility Address:
8500 LEESBURG PIKE, SUITE 500
VIENNA, VA
ZIP 22182
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Facility Phone Number: 703 712-3366

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1659966455

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	49D2226986
LAB Type	Hospice
Facility Name	HOSPICE PLUS OF VIRGINIA LLC
Street	8500 LEESBURG PIKE, SUITE 500
City	VIENNA
State	VA
ZIP	22182
Phone	703 712-3366
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024