49D0679003 CLIA NUMBER - HERITAGE HALL KING GEORGE

Laboratory Demographics

  • CLIA Code: 49D0679003
  • Facility Name: HERITAGE HALL KING GEORGE
  • Facility Address: 10051 FOXES WAY
    KING GEORGE, VA
    ZIP 22485
  • Facility Phone: 540 775-4000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUSTINE LEWIS
  • NPI Number: 1417449422
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0679003
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE HALL KING GEORGE
Street 10051 FOXES WAY
City KING GEORGE
State VA
ZIP 22485
Phone 540 775-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JUSTINE LEWIS

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