49D0998480 CLIA NUMBER - KONNAROCK FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 49D0998480
  • Facility Name: KONNAROCK FAMILY HEALTH CENTER
  • Facility Address: 20471 AZEN ROAD
    DAMASCUS, VA
    ZIP 24236
  • Facility Phone: 276 388-3411
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: JOSHUA A. YEARY
  • NPI Number: 1225150824
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D0998480
LAB Type Rural Health Clinic
Facility Name KONNAROCK FAMILY HEALTH CENTER
Street 20471 AZEN ROAD
City DAMASCUS
State VA
ZIP 24236
Phone 276 388-3411
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Rural Health Clinic
Lab Director JOSHUA A. YEARY

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This page was last updated on: 6/4/2025