49D2290813 CLIA NUMBER - PROVERBS MEDICAL & HEALTH CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 49D2290813
  • Facility Name: PROVERBS MEDICAL & HEALTH CLINIC, LLC
  • Facility Address: 300 RINGGOLD INDUSTRIAL PARKWAY
    DANVILLE, VA
    ZIP 24541
  • Facility Phone: 571 314-6136
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VICKIE B. MILLER
  • NPI Number: 1043883143
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2290813
LAB Type Practitioner Other
Facility Name PROVERBS MEDICAL & HEALTH CLINIC, LLC
Street 300 RINGGOLD INDUSTRIAL PARKWAY
City DANVILLE
State VA
ZIP 24541
Phone 571 314-6136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Practitioner Other
Lab Director VICKIE B. MILLER

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This page was last updated on: 6/4/2025