49D2021266 CLIA NUMBER - WYTHEVILLE CBOC

Laboratory Demographics

  • CLIA Code: 49D2021266
  • Facility Name: WYTHEVILLE CBOC
  • Facility Address: 165 PEPPERS FERRY ROAD
    WYTHEVILLE, VA
    ZIP 24382
  • Facility Phone: 276 227-5400
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: LAMPROS KARAGEORGE
  • NPI Number: 1477188563
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 49D2021266
LAB Type Community Clinic
Facility Name WYTHEVILLE CBOC
Street 165 PEPPERS FERRY ROAD
City WYTHEVILLE
State VA
ZIP 24382
Phone 276 227-5400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/10/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director LAMPROS KARAGEORGE

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This page was last updated on: 3/20/2025