49D2260353 CLIA NUMBER - AT HOME M D

Laboratory Demographics

CLIA Number: 49D2260353

Facility Name: AT HOME M D

Facility Address:
1123 EAST STUART DRIVE SUITE A
GALAX, VA
ZIP 24333
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Facility Phone Number: 276 231-0008

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427718154

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	49D2260353
LAB Type	Physician Office
Facility Name	AT HOME M D
Street	1123 EAST STUART DRIVE SUITE A
City	GALAX
State	VA
ZIP	24333
Phone	276 231-0008
CertificateType	4
CertificateEffectiveDate	5/18/2022
CertificateExpirationDate	5/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024