49D2316277 CLIA NUMBER - MARK MULLINS WELLNESS MED SPA

Laboratory Demographics

  • CLIA Code: 49D2316277
  • Facility Name: MARK MULLINS WELLNESS MED SPA
  • Facility Address: 1921 FRONT STREET
    RICHLANDS, VA
    ZIP 24641
  • Facility Phone: 276 582-0009
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MARK A. MULLINS
  • NPI Number: 1477342673
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D2316277
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MARK MULLINS WELLNESS MED SPA
Street 1921 FRONT STREET
City RICHLANDS
State VA
ZIP 24641
Phone 276 582-0009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MARK A. MULLINS

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