49D2028232 CLIA NUMBER - SENTARA HOME CARE SERVICES - WOODBRIDGE

Laboratory Demographics

  • CLIA Code: 49D2028232
  • Facility Name: SENTARA HOME CARE SERVICES - WOODBRIDGE
  • Facility Address: 3800 FETTLER PARK DRIVE, SUITE 102
    DUMFRIES, VA
    ZIP 22025
  • Facility Phone: 571 659-0887
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PATRICIA J. HAMPTON
  • NPI Number: 1831414192
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2028232
LAB Type Home Health Agency
Facility Name SENTARA HOME CARE SERVICES - WOODBRIDGE
Street 3800 FETTLER PARK DRIVE, SUITE 102
City DUMFRIES
State VA
ZIP 22025
Phone 571 659-0887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Home Health Agency
Lab Director PATRICIA J. HAMPTON

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This page was last updated on: 3/20/2025