49D1028609 CLIA NUMBER - FREDERICKSBURG PRIMARY CARE, PC

Laboratory Demographics

  • CLIA Code: 49D1028609
  • Facility Name: FREDERICKSBURG PRIMARY CARE, PC
  • Facility Address: 2500 CHARLES STREET
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: (540) 374-8140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH M. FERGUSON, MD
  • NPI Number: 1447297916
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1028609
LAB Type Physician Office
Facility Name FREDERICKSBURG PRIMARY CARE, PC
Street 2500 CHARLES STREET
City FREDERICKSBURG
State VA
ZIP 22401
Phone 5403748140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director JOSEPH M. FERGUSON, MD

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