49D2009190 CLIA NUMBER - PRIMECARE FAMILY CARE

Laboratory Demographics

  • CLIA Code: 49D2009190
  • Facility Name: PRIMECARE FAMILY CARE
  • Facility Address: 9763 COURTHOUSE ROAD
    SPOTSYLVANIA, VA
    ZIP 22553
  • Facility Phone: 540 786-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFTON A. SHEETS
  • NPI Number: 1497786073
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2009190
LAB Type Physician Office
Facility Name PRIMECARE FAMILY CARE
Street 9763 COURTHOUSE ROAD
City SPOTSYLVANIA
State VA
ZIP 22553
Phone 540 786-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director CLIFTON A. SHEETS

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