49D2023186 CLIA NUMBER - DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC HILLSVILLE

Laboratory Demographics

  • CLIA Code: 49D2023186
  • Facility Name: DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC HILLSVILLE
  • Facility Address: 702 PINE STREET
    HILLSVILLE, VA
    ZIP 24343
  • Facility Phone: 276 773-2063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMIE L. CARLO-DEMOVICH
  • NPI Number: 1104512276
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2023186
LAB Type Physician Office
Facility Name DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC HILLSVILLE
Street 702 PINE STREET
City HILLSVILLE
State VA
ZIP 24343
Phone 276 773-2063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director JAMIE L. CARLO-DEMOVICH

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