49D1057606 CLIA NUMBER - GAINESVILLE URGENT MEDICAL CARE, PC

Laboratory Demographics

CLIA Number: 49D1057606

Facility Name: GAINESVILLE URGENT MEDICAL CARE, PC

Facility Address:
7588 GARDNER PARK DRIVE
GAINESVILLE, VA
ZIP 20155
Get Directions

Facility Phone Number: 703 753-7797

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326135161

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D1057606
LAB Type	Physician Office
Facility Name	GAINESVILLE URGENT MEDICAL CARE, PC
Street	7588 GARDNER PARK DRIVE
City	GAINESVILLE
State	VA
ZIP	20155
Phone	703 753-7797
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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