49D2176824 CLIA NUMBER - SOUTHSIDE BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 49D2176824
  • Facility Name: SOUTHSIDE BEHAVIORAL HEALTH
  • Facility Address: 424 HAMILTON BLVD
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: (434) 572-6916
  • Facility Type: Other - BEHAVIORAL HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: DARRIN ADAMS
  • NPI Number: 1700890761
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2176824
LAB Type Other - BEHAVIORAL HEALTH CLINIC
Facility Name SOUTHSIDE BEHAVIORAL HEALTH
Street 424 HAMILTON BLVD
City SOUTH BOSTON
State VA
ZIP 24592
Phone 4345726916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2025
Certificate Expiration Date 12/25/2027
Facility Type Other - BEHAVIORAL HEALTH CLINIC
Lab Director DARRIN ADAMS

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This page was last updated on: 5/18/2026