49D1032709 CLIA NUMBER - MARK T MAHONEY, DO, PC

Laboratory Demographics

  • CLIA Code: 49D1032709
  • Facility Name: MARK T MAHONEY, DO, PC
  • Facility Address: 100 COLLEGE DRIVE
    MARTINSVILLE, VA
    ZIP 24112
  • Facility Phone: 276 666-0500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK T. MAHONEY
  • NPI Number: 1689863615
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1032709
LAB Type Physician Office
Facility Name MARK T MAHONEY, DO, PC
Street 100 COLLEGE DRIVE
City MARTINSVILLE
State VA
ZIP 24112
Phone 276 666-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director MARK T. MAHONEY

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