49D1041466 CLIA NUMBER - 23352 COURTHOUSE HIGHWAY OPCO LLC

Laboratory Demographics

  • CLIA Code: 49D1041466
  • Facility Name: 23352 COURTHOUSE HIGHWAY OPCO LLC
  • Facility Address: 23352 COURTHOUSE HIGHWAY
    WINDSOR, VA
    ZIP 23487
  • Facility Phone: 757 242-4770
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NAKIA G. WHITLEY
  • NPI Number: 1215951421
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D1041466
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 23352 COURTHOUSE HIGHWAY OPCO LLC
Street 23352 COURTHOUSE HIGHWAY
City WINDSOR
State VA
ZIP 23487
Phone 757 242-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NAKIA G. WHITLEY

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