49D0983657 CLIA NUMBER - KRISTIN D DEHAVEN MC PC

Laboratory Demographics

  • CLIA Code: 49D0983657
  • Facility Name: KRISTIN D DEHAVEN MC PC
  • Facility Address: 1830 WEST PLAZA DRIVE
    WINCHESTER, VA
    ZIP 22601
  • Facility Phone: 540 665-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN DEHAVEN
  • NPI Number: 1710130828
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 49D0983657
LAB Type Physician Office
Facility Name KRISTIN D DEHAVEN MC PC
Street 1830 WEST PLAZA DRIVE
City WINCHESTER
State VA
ZIP 22601
Phone 540 665-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director KRISTIN DEHAVEN

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