49D1021684 CLIA NUMBER - JEFFERSON AREA BOARD FOR AGING

Laboratory Demographics

  • CLIA Code: 49D1021684
  • Facility Name: JEFFERSON AREA BOARD FOR AGING
  • Facility Address: 674 HILLSDALE DRIVE - SUITE 9C
    CHARLOTTESVILLE, VA
    ZIP 22901
  • Facility Phone: 434 817-5239
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILL T. PAYNE
  • NPI Number: 1649428962
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 49D1021684
LAB Type Practitioner Other
Facility Name JEFFERSON AREA BOARD FOR AGING
Street 674 HILLSDALE DRIVE - SUITE 9C
City CHARLOTTESVILLE
State VA
ZIP 22901
Phone 434 817-5239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Practitioner Other
Lab Director JILL T. PAYNE

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