49D1093086 CLIA NUMBER - WYTHE FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 49D1093086
  • Facility Name: WYTHE FAMILY CARE CENTER
  • Facility Address: 245 HOLSTON ROAD - SUITE B
    WYTHEVILLE, VA
    ZIP 24382
  • Facility Phone: 276 227-0460
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SCOTT G. DOVE
  • NPI Number: 1316676778
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1093086
LAB Type Physician Office
Facility Name WYTHE FAMILY CARE CENTER
Street 245 HOLSTON ROAD - SUITE B
City WYTHEVILLE
State VA
ZIP 24382
Phone 276 227-0460
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 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director SCOTT G. DOVE

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