49D2132917 CLIA NUMBER - XIAO H JIN, MD

Laboratory Demographics

CLIA Number: 49D2132917

Facility Name: XIAO H JIN, MD

Facility Address:
51 SOUTH MARKET STREET
PETERSBURG, VA
ZIP 23803
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Facility Phone Number: 804 732-0618

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679766752

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	49D2132917
LAB Type	Physician Office
Facility Name	XIAO H JIN, MD
Street	51 SOUTH MARKET STREET
City	PETERSBURG
State	VA
ZIP	23803
Phone	804 732-0618
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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