49D2124812 CLIA NUMBER - CLINCH VALLEY PHYSICIANS ASSOCIATES, LLC DBA CLINCH VALLEY PHYSICIANS ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D2124812
  • Facility Name: CLINCH VALLEY PHYSICIANS ASSOCIATES, LLC DBA CLINCH VALLEY PHYSICIANS ASSOCIATES
  • Facility Address: 398 CLINIC ROAD
    CEDAR BLUFF, VA
    ZIP 24609
  • Facility Phone: 276 964-6771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY G. MITCHELL
  • NPI Number: 1912980855
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2124812
LAB Type Physician Office
Facility Name CLINCH VALLEY PHYSICIANS ASSOCIATES, LLC DBA CLINCH VALLEY PHYSICIANS ASSOCIATES
Street 398 CLINIC ROAD
City CEDAR BLUFF
State VA
ZIP 24609
Phone 276 964-6771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director LARRY G. MITCHELL

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