49D1103704 CLIA NUMBER - THOMAS E REFRO COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 49D1103704
  • Facility Name: THOMAS E REFRO COMMUNITY CLINIC
  • Facility Address: 515 FRONT STREET WEST
    COEBURN, VA
    ZIP 24230
  • Facility Phone: 276 395-2389
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS RENFRO
  • NPI Number: 1497726376
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1103704
LAB Type Physician Office
Facility Name THOMAS E REFRO COMMUNITY CLINIC
Street 515 FRONT STREET WEST
City COEBURN
State VA
ZIP 24230
Phone 276 395-2389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2023
Certificate Expiration Date 8/16/2025
Facility Type Physician Office
Lab Director THOMAS RENFRO

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This page was last updated on: 6/4/2025