49D0231089 CLIA NUMBER - SUTHERLAND FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 49D0231089
  • Facility Name: SUTHERLAND FAMILY PRACTICE
  • Facility Address: 5609 CLAIBORNE ROAD
    SUTHERLAND, VA
    ZIP 23885
  • Facility Phone: (804) 265-5211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM J. PHIPPS MD
  • NPI Number: 1699869487
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0231089
LAB Type Physician Office
Facility Name SUTHERLAND FAMILY PRACTICE
Street 5609 CLAIBORNE ROAD
City SUTHERLAND
State VA
ZIP 23885
Phone 8042655211
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/18/2025
Certificate Expiration Date 11/17/2027
Facility Type Physician Office
Lab Director WILLIAM J. PHIPPS MD

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This page was last updated on: 5/18/2026