49D2280152 CLIA NUMBER - HUGH CHATHAM HEALTH AT HOME

Laboratory Demographics

CLIA Number: 49D2280152

Facility Name: HUGH CHATHAM HEALTH AT HOME

Facility Address:
22 TRAINING CENTER ROAD
WOODLAWN, VA
ZIP 24381
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Facility Phone Number: 336 526-6460

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1609862192

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 49D2280152
LAB Type Home Health Agency
Facility Name HUGH CHATHAM HEALTH AT HOME
Street 22 TRAINING CENTER ROAD
City WOODLAWN
State VA
ZIP 24381
Phone 336 526-6460
CertificateType 4
CertificateEffectiveDate 4/13/2023
CertificateExpirationDate 4/12/2025
FacilityType Waiver

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