49D2266867 CLIA NUMBER - VIRGINIA HIGH SCHOOL BASED CLINIC

Laboratory Demographics

  • CLIA Code: 49D2266867
  • Facility Name: VIRGINIA HIGH SCHOOL BASED CLINIC
  • Facility Address: 650 LONG CRESCENT DR
    BRISTOL, VA
    ZIP 24201
  • Facility Phone: 276 944-3682
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ALVIN D. MCCUISTON
  • NPI Number: 1083717722
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2266867
LAB Type School/Student Health Service
Facility Name VIRGINIA HIGH SCHOOL BASED CLINIC
Street 650 LONG CRESCENT DR
City BRISTOL
State VA
ZIP 24201
Phone 276 944-3682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type School/Student Health Service
Lab Director ALVIN D. MCCUISTON

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