49D1005773 CLIA NUMBER - LEWISGALE PHYSICIANS - RADFORD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D1005773
  • Facility Name: LEWISGALE PHYSICIANS - RADFORD PRIMARY CARE
  • Facility Address: 614 EAST MAIN STREET - SUITE B
    RADFORD, VA
    ZIP 24141
  • Facility Phone: 540 731-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRITTANY D. JONES
  • NPI Number: 1184728503
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 49D1005773
LAB Type Physician Office
Facility Name LEWISGALE PHYSICIANS - RADFORD PRIMARY CARE
Street 614 EAST MAIN STREET - SUITE B
City RADFORD
State VA
ZIP 24141
Phone 540 731-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director BRITTANY D. JONES

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