49D1031098 CLIA NUMBER - COLONIAL INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D1031098
  • Facility Name: COLONIAL INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 125 OLDE GREENWICH DRIVE - SUITE 300
    FREDERICKSBRG, VA
    ZIP 22408
  • Facility Phone: 540 374-5599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH M. MCDOWELL
  • NPI Number: 1346260940
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1031098
LAB Type Physician Office
Facility Name COLONIAL INTERNAL MEDICINE ASSOCIATES
Street 125 OLDE GREENWICH DRIVE - SUITE 300
City FREDERICKSBRG
State VA
ZIP 22408
Phone 540 374-5599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director KENNETH M. MCDOWELL

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