49D0999253 CLIA NUMBER - VALLEY HEALTH PRIMARY CARE- COSTELLO DRIVE

Laboratory Demographics

  • CLIA Code: 49D0999253
  • Facility Name: VALLEY HEALTH PRIMARY CARE- COSTELLO DRIVE
  • Facility Address: 230 COSTELLO DRIVE SUITE B
    WINCHESTER, VA
    ZIP 22601
  • Facility Phone: 540 536-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANDITA SUBEDI
  • NPI Number: 1255842506
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0999253
LAB Type Physician Office
Facility Name VALLEY HEALTH PRIMARY CARE- COSTELLO DRIVE
Street 230 COSTELLO DRIVE SUITE B
City WINCHESTER
State VA
ZIP 22601
Phone 540 536-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director NANDITA SUBEDI

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