Healther Providers Data Logo

49D0892974 CLIA NUMBER - ROCKY RUN FAMILY MEDICINE, INC

Laboratory Demographics

CLIA Number: 49D0892974

Facility Name: ROCKY RUN FAMILY MEDICINE, INC

Facility Address:
5645 STONE ROAD
CENTREVILLE, VA
ZIP 20120
Get Directions

Facility Phone Number: 703 266-2442

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1043234552

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name Field Value
CLIA Number 49D0892974
LAB Type Physician Office
Facility Name ROCKY RUN FAMILY MEDICINE, INC
Street 5645 STONE ROAD
City CENTREVILLE
State VA
ZIP 20120
Phone 703 266-2442
CertificateType 3
CertificateEffectiveDate 7/17/2023
CertificateExpirationDate 7/16/2025
FacilityType PPMP

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024