49D2178077 CLIA NUMBER - CASSANDRA DINGUS FNP PC DBA ACROSS THE TRACKS HEALTHCARE

Laboratory Demographics

  • CLIA Code: 49D2178077
  • Facility Name: CASSANDRA DINGUS FNP PC DBA ACROSS THE TRACKS HEALTHCARE
  • Facility Address: 205 EAST 19TH ST NORTH
    BIG STONE GAP, VA
    ZIP 24219
  • Facility Phone: 276 524-4920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CASSANDRA DINGUS
  • NPI Number: 1013105840
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D2178077
LAB Type Physician Office
Facility Name CASSANDRA DINGUS FNP PC DBA ACROSS THE TRACKS HEALTHCARE
Street 205 EAST 19TH ST NORTH
City BIG STONE GAP
State VA
ZIP 24219
Phone 276 524-4920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director CASSANDRA DINGUS

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This page was last updated on: 6/4/2025