48D2187589 CLIA NUMBER - VIRGIN ISLANDS HEALTHCARE FOUNDATION RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 48D2187589
  • Facility Name: VIRGIN ISLANDS HEALTHCARE FOUNDATION RURAL HEALTH CLINIC
  • Facility Address: SUNNY ISLES SHOPPING CENTER SPACE 1,2,3A
    CHRISTIANSTED, VI
    ZIP 00820
  • Facility Phone: 602 885-3917
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JAN B. TAWAKOL
  • NPI Number: 1518578541
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 48D2187589
LAB Type Rural Health Clinic
Facility Name VIRGIN ISLANDS HEALTHCARE FOUNDATION RURAL HEALTH CLINIC
Street SUNNY ISLES SHOPPING CENTER SPACE 1,2,3A
City CHRISTIANSTED
State VI
ZIP 00820
Phone 602 885-3917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Rural Health Clinic
Lab Director DR. JAN B. TAWAKOL

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