49D2168988 CLIA NUMBER - HALIFAX CORR UNIT 23

Laboratory Demographics

  • CLIA Code: 49D2168988
  • Facility Name: HALIFAX CORR UNIT 23
  • Facility Address: 1200 FARM ROAD
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: 434 272-4132
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: SANDRA VASS
  • NPI Number: 1740230705
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 49D2168988
LAB Type Prison
Facility Name HALIFAX CORR UNIT 23
Street 1200 FARM ROAD
City SOUTH BOSTON
State VA
ZIP 24592
Phone 434 272-4132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Prison
Lab Director SANDRA VASS

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