49D1102004 CLIA NUMBER - HEARTLAND HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 49D1102004
  • Facility Name: HEARTLAND HEALTH CLINIC
  • Facility Address: 101 HEARTLAND COURT
    DAYTON, VA
    ZIP 22821
  • Facility Phone: (540) 879-9002
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JAMES E. STEVENS
  • NPI Number: 1205563947
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1102004
LAB Type Other
Facility Name HEARTLAND HEALTH CLINIC
Street 101 HEARTLAND COURT
City DAYTON
State VA
ZIP 22821
Phone 5408799002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Other
Lab Director JAMES E. STEVENS

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This page was last updated on: 5/18/2026