49D2172260 CLIA NUMBER - BIG ISLAND HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 49D2172260
  • Facility Name: BIG ISLAND HEALTH AND WELLNESS
  • Facility Address: 10961 LEE JACKSON HWY
    BIG ISLAND, VA
    ZIP 24526
  • Facility Phone: 434 299-5029
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PHYLLIS C. EVERETT
  • NPI Number: 1760776447
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

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 434 299-5029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Practitioner Other
Lab Director PHYLLIS C. EVERETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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