49D0692715 CLIA NUMBER - 906 THOMPSON STREET OPCO LLC

Laboratory Demographics

  • CLIA Code: 49D0692715
  • Facility Name: 906 THOMPSON STREET OPCO LLC
  • Facility Address: 906 THOMPSON STREET
    ASHLAND, VA
    ZIP 23005
  • Facility Phone: 804 798-3291
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. THOMPSON
  • NPI Number: 1922173400
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0692715
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 906 THOMPSON STREET OPCO LLC
Street 906 THOMPSON STREET
City ASHLAND
State VA
ZIP 23005
Phone 804 798-3291
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 MATTHEW J. THOMPSON

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