49D1018975 CLIA NUMBER - BLUESTONE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D1018975
  • Facility Name: BLUESTONE PEDIATRICS
  • Facility Address: 4059 QUARLES COURT
    HARRISONBURG, VA
    ZIP 22801
  • Facility Phone: (540) 437-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP M. RENICK, MD
  • NPI Number: 1356450951
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1018975
LAB Type Physician Office
Facility Name BLUESTONE PEDIATRICS
Street 4059 QUARLES COURT
City HARRISONBURG
State VA
ZIP 22801
Phone 5404374800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2026
Certificate Expiration Date 3/16/2028
Facility Type Physician Office
Lab Director PHILLIP M. RENICK, MD

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This page was last updated on: 5/18/2026