49D0907193 CLIA NUMBER - TAZEWELL COUNTY PUBILC SCHOOLS HEALTH SERVICES

Laboratory Demographics

CLIA Number: 49D0907193

Facility Name: TAZEWELL COUNTY PUBILC SCHOOLS HEALTH SERVICES

Facility Address:
506 JEFFERSONVILLE STREET
TAZEWELL, VA
ZIP 24651
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Facility Phone Number: 576 988-5511

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1083114250

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	49D0907193
LAB Type	School/Student Health Service
Facility Name	TAZEWELL COUNTY PUBILC SCHOOLS HEALTH SERVICES
Street	506 JEFFERSONVILLE STREET
City	TAZEWELL
State	VA
ZIP	24651
Phone	576 988-5511
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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