49D0232976 CLIA NUMBER - PHYSICIANS TREATMENT CENTER-LYNCHBURG

Laboratory Demographics

CLIA Number: 49D0232976

Facility Name: PHYSICIANS TREATMENT CENTER-LYNCHBURG

Facility Address:
2832 CANDLERS MOUNTAIN ROAD ATTN NITA ALEXANDER
LYNCHBURG, VA
ZIP 24502
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Facility Phone Number: 434 239-3949

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1568890374

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D0232976
LAB Type	Physician Office
Facility Name	PHYSICIANS TREATMENT CENTER-LYNCHBURG
Street	2832 CANDLERS MOUNTAIN ROAD ATTN NITA ALEXANDER
City	LYNCHBURG
State	VA
ZIP	24502
Phone	434 239-3949
CertificateType	2
CertificateEffectiveDate	6/8/2023
CertificateExpirationDate	6/7/2025
FacilityType	Compliance

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