49D0230730 CLIA NUMBER - CENTRAL STATE HOSPITAL

Laboratory Demographics

CLIA Number: 49D0230730

Facility Name: CENTRAL STATE HOSPITAL

Facility Address:
26317 W WASHINGTON STREET
PETERSBURG, VA
ZIP 23803
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Facility Phone Number: 804 524-7373

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1457415291

Taxonomy: 208M00000X - Hospitalist
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

CLIA Record

Field Name	Field Value
CLIA Number	49D0230730
LAB Type	Hospital
Facility Name	CENTRAL STATE HOSPITAL
Street	26317 W WASHINGTON STREET
City	PETERSBURG
State	VA
ZIP	23803
Phone	804 524-7373
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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