49D2022225 CLIA NUMBER - GOWELL URGENT CARE

Laboratory Demographics

  • CLIA Code: 49D2022225
  • Facility Name: GOWELL URGENT CARE
  • Facility Address: 75 WEST LEE HIGHWAY
    WARRENTON, VA
    ZIP 20186
  • Facility Phone: 202 210-7100
  • Facility Type: Other - URGENT CARE CNTR
  • Facility Type: Waiver
  • Lab Director: MARK MICHAUD
  • NPI Number: 1487027355
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D2022225
LAB Type Other - URGENT CARE CNTR
Facility Name GOWELL URGENT CARE
Street 75 WEST LEE HIGHWAY
City WARRENTON
State VA
ZIP 20186
Phone 202 210-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Other - URGENT CARE CNTR
Lab Director MARK MICHAUD

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