49D0721922 CLIA NUMBER - BRIDGEWATER HOME INC

Laboratory Demographics

  • CLIA Code: 49D0721922
  • Facility Name: BRIDGEWATER HOME INC
  • Facility Address: 302 N SECOND STREET ATTN ANNE O'DONOHUE
    BRIDGEWATER, VA
    ZIP 22812
  • Facility Phone: 703 828-2531
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANNE M. ODONOHUE
  • NPI Number: 1356346274
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0721922
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIDGEWATER HOME INC
Street 302 N SECOND STREET ATTN ANNE O'DONOHUE
City BRIDGEWATER
State VA
ZIP 22812
Phone 703 828-2531
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 ANNE M. ODONOHUE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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