49D2198758 CLIA NUMBER - DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 49D2198758
  • Facility Name: DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
  • Facility Address: 440 FOX TOWN ROAD
    CLINTWOOD, VA
    ZIP 24228
  • Facility Phone: 276 926-1682
  • Facility Type: Other - COMMUNITY MENTAL HLTH CTR
  • Facility Type: Waiver
  • Lab Director: KEVIN MULLINS
  • NPI Number: 1649209990
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2198758
LAB Type Other - COMMUNITY MENTAL HLTH CTR
Facility Name DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
Street 440 FOX TOWN ROAD
City CLINTWOOD
State VA
ZIP 24228
Phone 276 926-1682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other - COMMUNITY MENTAL HLTH CTR
Lab Director KEVIN MULLINS

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