49D0672761 CLIA NUMBER - AUTUMN CARE OF MADISON

Laboratory Demographics

  • CLIA Code: 49D0672761
  • Facility Name: AUTUMN CARE OF MADISON
  • Facility Address: ONE AUTUMN COURT PO BOX 420
    MADISON, VA
    ZIP 22727
  • Facility Phone: 540 948-3054
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GLORIA B. SHIFFLETT
  • NPI Number: 1194701888
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0672761
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN CARE OF MADISON
Street ONE AUTUMN COURT PO BOX 420
City MADISON
State VA
ZIP 22727
Phone 540 948-3054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GLORIA B. SHIFFLETT

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