49D0907151 CLIA NUMBER - THOMPSON FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 49D0907151

Facility Name: THOMPSON FAMILY HEALTH CENTER

Facility Address:
1721 LOVERS GAP ROAD
VANSANT, VA
ZIP 24656
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Facility Phone Number: 276 935-2935

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1801013354

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D0907151
LAB Type	Community Clinic
Facility Name	THOMPSON FAMILY HEALTH CENTER
Street	1721 LOVERS GAP ROAD
City	VANSANT
State	VA
ZIP	24656
Phone	276 935-2935
CertificateType	3
CertificateEffectiveDate	9/23/2022
CertificateExpirationDate	9/22/2024
FacilityType	PPMP

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