49D1096368 CLIA NUMBER - SANDY RIVER FAMILY CARE, INC

Laboratory Demographics

CLIA Number: 49D1096368

Facility Name: SANDY RIVER FAMILY CARE, INC

Facility Address:
4520 MEDICAL CENTER ROAD
AXTON, VA
ZIP 24054
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Facility Phone Number: 434 685-7095

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1932354222

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	49D1096368
LAB Type	Mobile Laboratory
Facility Name	SANDY RIVER FAMILY CARE, INC
Street	4520 MEDICAL CENTER ROAD
City	AXTON
State	VA
ZIP	24054
Phone	434 685-7095
CertificateType	4
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Waiver

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