49D0962882 CLIA NUMBER - WISE LIFE CARE

Laboratory Demographics

  • CLIA Code: 49D0962882
  • Facility Name: WISE LIFE CARE
  • Facility Address: 9434 COEBURN MOUNTAIN ROAD
    WISE, VA
    ZIP 24293
  • Facility Phone: (276) 328-2721
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CASSANDRA S. MULLINS
  • NPI Number: 1225520232
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0962882
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WISE LIFE CARE
Street 9434 COEBURN MOUNTAIN ROAD
City WISE
State VA
ZIP 24293
Phone 2763282721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CASSANDRA S. MULLINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026