49D2236398 CLIA NUMBER - MILLS FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 49D2236398
  • Facility Name: MILLS FAMILY PRACTICE LLC
  • Facility Address: 1320 SEYMOUR DRIVE
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: (434) 579-0069
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY C. MILLS
  • NPI Number: 1205505344
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2236398
LAB Type Physician Office
Facility Name MILLS FAMILY PRACTICE LLC
Street 1320 SEYMOUR DRIVE
City SOUTH BOSTON
State VA
ZIP 24592
Phone 4345790069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director AMY C. MILLS

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