49D2128421 CLIA NUMBER - MEDEXPRESS URGENT CARE - MARTINSVILLE

Laboratory Demographics

CLIA Number: 49D2128421

Facility Name: MEDEXPRESS URGENT CARE - MARTINSVILLE

Facility Address:
105 WEST COMMONWEALTH BOULEVARD
MARTINSVILLE, VA
ZIP 24112
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Facility Phone Number: 276 666-5000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275074353

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D2128421
LAB Type	Physician Office
Facility Name	MEDEXPRESS URGENT CARE - MARTINSVILLE
Street	105 WEST COMMONWEALTH BOULEVARD
City	MARTINSVILLE
State	VA
ZIP	24112
Phone	276 666-5000
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024