49D0226138 CLIA NUMBER - VALLEY PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 49D0226138
  • Facility Name: VALLEY PEDIATRIC GROUP
  • Facility Address: 108 COMMUNITY DRIVE
    WAYNESBORO, VA
    ZIP 22980
  • Facility Phone: 540 949-0118
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN W. MUMBAUER, MD
  • NPI Number: 1003865122
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0226138
LAB Type Physician Office
Facility Name VALLEY PEDIATRIC GROUP
Street 108 COMMUNITY DRIVE
City WAYNESBORO
State VA
ZIP 22980
Phone 540 949-0118
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director STEVEN W. MUMBAUER, MD

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