49D2000183 CLIA NUMBER - FULL CARE MEDICAL CENTER, PC

Laboratory Demographics

  • CLIA Code: 49D2000183
  • Facility Name: FULL CARE MEDICAL CENTER, PC
  • Facility Address: 163 NUMBER TEN STREET
    CLINCHCO, VA
    ZIP 24226
  • Facility Phone: 276 835-1122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES ABROKWAH
  • NPI Number: 1811121007
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2000183
LAB Type Physician Office
Facility Name FULL CARE MEDICAL CENTER, PC
Street 163 NUMBER TEN STREET
City CLINCHCO
State VA
ZIP 24226
Phone 276 835-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director JAMES ABROKWAH

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