49D0951870 CLIA NUMBER - TWIN COUNTY FAMILY CARE CENTER-GALAX

Laboratory Demographics

  • CLIA Code: 49D0951870
  • Facility Name: TWIN COUNTY FAMILY CARE CENTER-GALAX
  • Facility Address: 104 CRANBERRY ROAD, SUITE 200A
    GALAX, VA
    ZIP 24333
  • Facility Phone: 276 236-9953
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMIE L. CARLO-DEMOVICH
  • NPI Number: 1235404047
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0951870
LAB Type Physician Office
Facility Name TWIN COUNTY FAMILY CARE CENTER-GALAX
Street 104 CRANBERRY ROAD, SUITE 200A
City GALAX
State VA
ZIP 24333
Phone 276 236-9953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director JAMIE L. CARLO-DEMOVICH

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