49D0700735 CLIA NUMBER - ANITA M MAYBACH, MD, PC

Laboratory Demographics

  • CLIA Code: 49D0700735
  • Facility Name: ANITA M MAYBACH, MD, PC
  • Facility Address: MEDICO DENTAL BLDG 381 STUYVESANT STREET
    WARRENTON, VA
    ZIP 20186
  • Facility Phone: 540 347-4410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITA M. MAYBACH MD
  • NPI Number: 1295998334
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D0700735
LAB Type Physician Office
Facility Name ANITA M MAYBACH, MD, PC
Street MEDICO DENTAL BLDG 381 STUYVESANT STREET
City WARRENTON
State VA
ZIP 20186
Phone 540 347-4410
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 Physician Office
Lab Director ANITA M. MAYBACH MD

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