49D2119221 CLIA NUMBER - CENTRA SOUTHSIDE CARDIOPULMONARY REHAB

Laboratory Demographics

  • CLIA Code: 49D2119221
  • Facility Name: CENTRA SOUTHSIDE CARDIOPULMONARY REHAB
  • Facility Address: 900 WEST THIRD STREET
    FARMVILLE, VA
    ZIP 23901
  • Facility Phone: 434 392-3205
  • Facility Type: Other - CARDIO REHAB OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: PAULA MCNUTT
  • NPI Number: 1730596933
  • Taxonomy: 282NR1301X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2119221
LAB Type Other - CARDIO REHAB OUTPATIENT
Facility Name CENTRA SOUTHSIDE CARDIOPULMONARY REHAB
Street 900 WEST THIRD STREET
City FARMVILLE
State VA
ZIP 23901
Phone 434 392-3205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Other - CARDIO REHAB OUTPATIENT
Lab Director PAULA MCNUTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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