49D0695158 CLIA NUMBER - FREDERICKSBURG HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 49D0695158
  • Facility Name: FREDERICKSBURG HEALTH AND REHAB
  • Facility Address: 3900 PLANK ROAD
    FREDERICKSBURG, VA
    ZIP 22407
  • Facility Phone: 703 786-8351
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHERIAN JOSEPH
  • NPI Number: 1457512188
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D0695158
LAB Type Other
Facility Name FREDERICKSBURG HEALTH AND REHAB
Street 3900 PLANK ROAD
City FREDERICKSBURG
State VA
ZIP 22407
Phone 703 786-8351
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 Other
Lab Director CHERIAN JOSEPH

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