49D2210562 CLIA NUMBER - BAY MEDICAL & WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 49D2210562
  • Facility Name: BAY MEDICAL & WELLNESS, LLC
  • Facility Address: 13794 TIDEWATER TRAIL
    SALUDA, VA
    ZIP 23149
  • Facility Phone: 804 286-9377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON L. STONE
  • NPI Number: 1134735905
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2210562
LAB Type Physician Office
Facility Name BAY MEDICAL & WELLNESS, LLC
Street 13794 TIDEWATER TRAIL
City SALUDA
State VA
ZIP 23149
Phone 804 286-9377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director SHANNON L. STONE

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