49D2309884 CLIA NUMBER - CENTRA PACE AMHERST

Laboratory Demographics

CLIA Code: 49D2309884
Facility Name: CENTRA PACE AMHERST
Facility Address: 124 AMBRIAR PLAZA
AMHERST, VA
ZIP 24521
Facility Phone: 434 200-6516
Facility Type: Other - PACE PROGRAM
Facility Type: Waiver
Lab Director: KRYSTLE D. LEWIS
NPI Number: 1861637191
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	49D2309884
LAB Type	Other - PACE PROGRAM
Facility Name	CENTRA PACE AMHERST
Street	124 AMBRIAR PLAZA
City	AMHERST
State	VA
ZIP	24521
Phone	434 200-6516
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/22/2024
Certificate Expiration Date	8/21/2026
Facility Type	Other - PACE PROGRAM
Lab Director	KRYSTLE D. LEWIS

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