49D1074075 CLIA NUMBER - MINUTE CLINIC DIAGNOSTIC OF VIRGINIA, LLC

Laboratory Demographics

  • CLIA Code: 49D1074075
  • Facility Name: MINUTE CLINIC DIAGNOSTIC OF VIRGINIA, LLC
  • Facility Address: 16712 JEFFERSON DAVIS HIGHWAY
    DUMFRIES, VA
    ZIP 22026
  • Facility Phone: 866 389-2727
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JEANNE ORZANO
  • NPI Number: 1063644466
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D1074075
LAB Type Other
Facility Name MINUTE CLINIC DIAGNOSTIC OF VIRGINIA, LLC
Street 16712 JEFFERSON DAVIS HIGHWAY
City DUMFRIES
State VA
ZIP 22026
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2023
Certificate Expiration Date 9/20/2025
Facility Type Other
Lab Director JEANNE ORZANO

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This page was last updated on: 6/4/2025