49D2104039 CLIA NUMBER - CLINCH PROFESSIONAL PHYSICIANS SERVICES, LLC CLINCH VALLEY FAMILY CARE

Laboratory Demographics

  • CLIA Code: 49D2104039
  • Facility Name: CLINCH PROFESSIONAL PHYSICIANS SERVICES, LLC CLINCH VALLEY FAMILY CARE
  • Facility Address: 1100 CEDAR VALLEY ROAD, SUITE 3
    CEDAR BLUFF, VA
    ZIP 24609
  • Facility Phone: 276 596-3449
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH A. MCVEY
  • NPI Number: 1669157285
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2104039
LAB Type Physician Office
Facility Name CLINCH PROFESSIONAL PHYSICIANS SERVICES, LLC CLINCH VALLEY FAMILY CARE
Street 1100 CEDAR VALLEY ROAD, SUITE 3
City CEDAR BLUFF
State VA
ZIP 24609
Phone 276 596-3449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director KENNETH A. MCVEY

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