49D0987687 CLIA NUMBER - GRACE MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 49D0987687
  • Facility Name: GRACE MEDICAL CENTER LLC
  • Facility Address: 430 WEST STUART DRIVE
    HILLSVILLE, VA
    ZIP 24343
  • Facility Phone: 276 728-3332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRISTIE A. BURNETTE
  • NPI Number: 1952911968
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0987687
LAB Type Physician Office
Facility Name GRACE MEDICAL CENTER LLC
Street 430 WEST STUART DRIVE
City HILLSVILLE
State VA
ZIP 24343
Phone 276 728-3332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director CRISTIE A. BURNETTE

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: 9/29/2025