49D0890568 CLIA NUMBER - MARTHA JEFFERSON HOUSE/INFIRMARY

Laboratory Demographics

  • CLIA Code: 49D0890568
  • Facility Name: MARTHA JEFFERSON HOUSE/INFIRMARY
  • Facility Address: 1600 GORDON AVE
    CHARLOTTESVILLE, VA
    ZIP 22903
  • Facility Phone: 434 296-1470
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GAIL M. WEATHERILL
  • NPI Number: 1174645790
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0890568
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARTHA JEFFERSON HOUSE/INFIRMARY
Street 1600 GORDON AVE
City CHARLOTTESVILLE
State VA
ZIP 22903
Phone 434 296-1470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GAIL M. WEATHERILL

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