49D1059486 CLIA NUMBER - TRI-AREA COMMUNITY HEALTH CENTER AT FERRUM COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 49D1059486

Facility Name: TRI-AREA COMMUNITY HEALTH CENTER AT FERRUM COMMUNITY HEALTH CENTER

Facility Address:
180 FERRUM MOUNTAIN RD
FERRUM, VA
ZIP 24088
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Facility Phone Number: 540 365-4469

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1053442848

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D1059486
LAB Type	Federally Qualified Health Center
Facility Name	TRI-AREA COMMUNITY HEALTH CENTER AT FERRUM COMMUNITY HEALTH CENTER
Street	180 FERRUM MOUNTAIN RD
City	FERRUM
State	VA
ZIP	24088
Phone	540 365-4469
CertificateType	3
CertificateEffectiveDate	10/2/2022
CertificateExpirationDate	10/1/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024