49D0678490 CLIA NUMBER - RAPPAHANNOCK AREA HEALTH DISTRICT

Laboratory Demographics

CLIA Number: 49D0678490

Facility Name: RAPPAHANNOCK AREA HEALTH DISTRICT

Facility Address:
608 JACKSON STREET
FREDERICKSBURG, VA
ZIP 22401
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Facility Phone Number: 540 899-4797

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1144600776

Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	49D0678490
LAB Type	Community Clinic
Facility Name	RAPPAHANNOCK AREA HEALTH DISTRICT
Street	608 JACKSON STREET
City	FREDERICKSBURG
State	VA
ZIP	22401
Phone	540 899-4797
CertificateType	3
CertificateEffectiveDate	4/12/2024
CertificateExpirationDate	4/11/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024