49D1107436 CLIA NUMBER - BALLAD HEALTH MEDICAL ASSOCIATES FAMILY

Laboratory Demographics

CLIA Number: 49D1107436

Facility Name: BALLAD HEALTH MEDICAL ASSOCIATES FAMILY

Facility Address:
250 STAGECOACH ROAD
BRISTOL, VA
ZIP 24201
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Facility Phone Number: (276) 466-0584

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	49D1107436
LAB Type	PHYSICIAN OFFICE
Facility Name	BALLAD HEALTH MEDICAL ASSOCIATES FAMILY
Street	250 STAGECOACH ROAD
City	BRISTOL
State	VA
ZIP	24201
Phone	(276) 466-0584

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This page was last updated on: 5/11/2023