49D1105167 CLIA NUMBER - PULASKI INTERNAL MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 49D1105167
  • Facility Name: PULASKI INTERNAL MEDICINE, PC
  • Facility Address: 5570 COUGAR TRAIL ROAD
    DUBLIN, VA
    ZIP 24084
  • Facility Phone: 540 674-4914
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL J. D'AMICO, MD
  • NPI Number: 1528391117
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1105167
LAB Type Physician Office
Facility Name PULASKI INTERNAL MEDICINE, PC
Street 5570 COUGAR TRAIL ROAD
City DUBLIN
State VA
ZIP 24084
Phone 540 674-4914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director PAUL J. D'AMICO, MD

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