49D1107024 CLIA NUMBER - FAUQUIER FREE CLINIC, INC

Laboratory Demographics

CLIA Number: 49D1107024

Facility Name: FAUQUIER FREE CLINIC, INC

Facility Address:
35 ROCK POINTE LANE
WARRENTON, VA
ZIP 20186
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Facility Phone Number: 540 347-0394

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1912329749

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	49D1107024
LAB Type	Community Clinic
Facility Name	FAUQUIER FREE CLINIC, INC
Street	35 ROCK POINTE LANE
City	WARRENTON
State	VA
ZIP	20186
Phone	540 347-0394
CertificateType	4
CertificateEffectiveDate	10/27/2023
CertificateExpirationDate	10/26/2025
FacilityType	Waiver

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