49D0924789 CLIA NUMBER - COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS

Laboratory Demographics

CLIA Number: 49D0924789

Facility Name: COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS

Facility Address:
1355 RICHMOND ROAD
STAUNTON, VA
ZIP 24402
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Facility Phone Number: 540 332-2100

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1912951369

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name Field Value
CLIA Number 49D0924789
LAB Type Other
Facility Name COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS
Street 1355 RICHMOND ROAD
City STAUNTON
State VA
ZIP 24402
Phone 540 332-2100
CertificateType 4
CertificateEffectiveDate 2/7/2023
CertificateExpirationDate 2/6/2025
FacilityType Waiver

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