49D0861146 CLIA NUMBER - SOUTH HILL FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 49D0861146

Facility Name: SOUTH HILL FAMILY MEDICINE

Facility Address:
514 W ATLANTIC STREET
SOUTH HILL, VA
ZIP 23970
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Facility Phone Number: 434 447-6969

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1548613110

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D0861146
LAB Type	Physician Office
Facility Name	SOUTH HILL FAMILY MEDICINE
Street	514 W ATLANTIC STREET
City	SOUTH HILL
State	VA
ZIP	23970
Phone	434 447-6969
CertificateType	2
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Compliance

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