49D2238283 CLIA NUMBER - WINGS OVER VIRGINIA LLC DBA WINGS OVER VIRGINIA HOSPICE

Laboratory Demographics

CLIA Number: 49D2238283

Facility Name: WINGS OVER VIRGINIA LLC DBA WINGS OVER VIRGINIA HOSPICE

Facility Address:
6325 N CENTER DR, SUITE 204
NORFOLK, VA
ZIP 23502
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Facility Phone Number: 757 392-9684

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1902470420

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	49D2238283
LAB Type	Hospice
Facility Name	WINGS OVER VIRGINIA LLC DBA WINGS OVER VIRGINIA HOSPICE
Street	6325 N CENTER DR, SUITE 204
City	NORFOLK
State	VA
ZIP	23502
Phone	757 392-9684
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

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