49D1057543 CLIA NUMBER - RAPIDAN MEDICAL CENTER

Laboratory Demographics

CLIA Number: 49D1057543

Facility Name: RAPIDAN MEDICAL CENTER

Facility Address:
4444 GERMANNA HIGHWAY - SUITE 310
LOCUST GROVE, VA
ZIP 22508
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Facility Phone Number: 540 972-6222

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427016419

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 49D1057543
LAB Type Physician Office
Facility Name RAPIDAN MEDICAL CENTER
Street 4444 GERMANNA HIGHWAY - SUITE 310
City LOCUST GROVE
State VA
ZIP 22508
Phone 540 972-6222
CertificateType 4
CertificateEffectiveDate 8/15/2022
CertificateExpirationDate 8/14/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024