49D2172260 CLIA NUMBER - BIG ISLAND HEALTH AND WELLNESS

Laboratory Demographics

CLIA Number: 49D2172260

Facility Name: BIG ISLAND HEALTH AND WELLNESS

Facility Address:
10961 LEE JACKSON HWY
BIG ISLAND, VA
ZIP 24526
Get Directions

Facility Phone Number: 540 297-6026

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1760776447

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	49D2172260
LAB Type	Practitioner Other
Facility Name	BIG ISLAND HEALTH AND WELLNESS
Street	10961 LEE JACKSON HWY
City	BIG ISLAND
State	VA
ZIP	24526
Phone	540 297-6026
CertificateType	4
CertificateEffectiveDate	9/18/2023
CertificateExpirationDate	9/17/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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