49D2172224 CLIA NUMBER - HEALTHSTAT ONSITE CLINIC GOODYEAR DANVILLE

Laboratory Demographics

  • CLIA Code: 49D2172224
  • Facility Name: HEALTHSTAT ONSITE CLINIC GOODYEAR DANVILLE
  • Facility Address: 1901 GOODYEAR BLVD
    DANVILLE, VA
    ZIP 24541
  • Facility Phone: 704 936-5546
  • Facility Type: Other - CHRONIC MGT
  • Facility Type: Waiver
  • Lab Director: LINDA MORRILL
  • NPI Number: 1891320008
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2172224
LAB Type Other - CHRONIC MGT
Facility Name HEALTHSTAT ONSITE CLINIC GOODYEAR DANVILLE
Street 1901 GOODYEAR BLVD
City DANVILLE
State VA
ZIP 24541
Phone 704 936-5546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2023
Certificate Expiration Date 9/17/2025
Facility Type Other - CHRONIC MGT
Lab Director LINDA MORRILL

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This page was last updated on: 3/20/2025