49D2006731 CLIA NUMBER - HALIFAX INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2006731
  • Facility Name: HALIFAX INTERNAL MEDICINE
  • Facility Address: 1129 N MAIN STREET
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: 434 517-6180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY T. JONES
  • NPI Number: 1801030119
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2006731
LAB Type Physician Office
Facility Name HALIFAX INTERNAL MEDICINE
Street 1129 N MAIN STREET
City SOUTH BOSTON
State VA
ZIP 24592
Phone 434 517-6180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director NANCY T. JONES

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