49D1056158 CLIA NUMBER - MICHELLE M CAMPBELL, MD, PC

Laboratory Demographics

  • CLIA Code: 49D1056158
  • Facility Name: MICHELLE M CAMPBELL, MD, PC
  • Facility Address: 2765 JEFFERSON DAVIS HIGHWAY - SUITE 207
    STAFFORD, VA
    ZIP 22554
  • Facility Phone: 540 288-3335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. CAMPBELL
  • NPI Number: 1780646182
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1056158
LAB Type Physician Office
Facility Name MICHELLE M CAMPBELL, MD, PC
Street 2765 JEFFERSON DAVIS HIGHWAY - SUITE 207
City STAFFORD
State VA
ZIP 22554
Phone 540 288-3335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director MICHELLE M. CAMPBELL

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