49D2056926 CLIA NUMBER - PHYSCIAL MEDICINE ASSOCIATES, LTD

Laboratory Demographics

  • CLIA Code: 49D2056926
  • Facility Name: PHYSCIAL MEDICINE ASSOCIATES, LTD
  • Facility Address: 1500 BROOKHAVEN DRIVE - SUITE 1
    HARRISONBURG, VA
    ZIP 22801
  • Facility Phone: 540 434-1759
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUEBBERT F. SAMUEL
  • NPI Number: 1972971133
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2056926
LAB Type Physician Office
Facility Name PHYSCIAL MEDICINE ASSOCIATES, LTD
Street 1500 BROOKHAVEN DRIVE - SUITE 1
City HARRISONBURG
State VA
ZIP 22801
Phone 540 434-1759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director LUEBBERT F. SAMUEL

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