49D0231716 CLIA NUMBER - LEWISGALE PHYSICIANS - CHRISTIANSBURG FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D0231716
  • Facility Name: LEWISGALE PHYSICIANS - CHRISTIANSBURG FAMILY MEDICINE
  • Facility Address: 10 HICKOK STREET
    CHRISTIANSBURG, VA
    ZIP 24073
  • Facility Phone: 540 382-6148
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARL HANNAH
  • NPI Number: 1114999075
  • Taxonomy: 213EP1101X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 49D0231716
LAB Type Physician Office
Facility Name LEWISGALE PHYSICIANS - CHRISTIANSBURG FAMILY MEDICINE
Street 10 HICKOK STREET
City CHRISTIANSBURG
State VA
ZIP 24073
Phone 540 382-6148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2023
Certificate Expiration Date 8/31/2025
Facility Type Physician Office
Lab Director CARL HANNAH

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This page was last updated on: 3/20/2025