49D0231961 CLIA NUMBER - BRACKENRICH FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 49D0231961
  • Facility Name: BRACKENRICH FAMILY PRACTICE
  • Facility Address: 363 WOODLAND ST
    RICH CREEK, VA
    ZIP 24147
  • Facility Phone: 540 726-2375
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHEAL D. BRACKENRICH, DO
  • NPI Number: 1235229576
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0231961
LAB Type Physician Office
Facility Name BRACKENRICH FAMILY PRACTICE
Street 363 WOODLAND ST
City RICH CREEK
State VA
ZIP 24147
Phone 540 726-2375
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director MICHEAL D. BRACKENRICH, DO

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