49D0882042 CLIA NUMBER - SKYLINE MEDICAL PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 49D0882042
  • Facility Name: SKYLINE MEDICAL PRACTICE, LLC
  • Facility Address: 841 N SHENANDOAH AVE #3
    FRONT ROYAL, VA
    ZIP 22630
  • Facility Phone: (540) 636-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAWNYA R. FINERFROCK
  • NPI Number: 1104900513
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0882042
LAB Type Physician Office
Facility Name SKYLINE MEDICAL PRACTICE, LLC
Street 841 N SHENANDOAH AVE #3
City FRONT ROYAL
State VA
ZIP 22630
Phone 5406367000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director DAWNYA R. FINERFROCK

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This page was last updated on: 5/18/2026