49D2123759 CLIA NUMBER - PULASKI MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 49D2123759
  • Facility Name: PULASKI MEDICAL, LLC
  • Facility Address: 1006 EAST MAIN STREET
    PULASKI, VA
    ZIP 24301
  • Facility Phone: 540 980-1125
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: TROY DAVIS
  • NPI Number: 1558607481
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2123759
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name PULASKI MEDICAL, LLC
Street 1006 EAST MAIN STREET
City PULASKI
State VA
ZIP 24301
Phone 540 980-1125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director TROY DAVIS

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