49D2069497 CLIA NUMBER - BLUEMONT NEPHROLOGY ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 49D2069497
  • Facility Name: BLUEMONT NEPHROLOGY ASSOCIATES, PC
  • Facility Address: 420 SOUTHRIDGE PARKWAY - SUITE 102
    CULPEPER, VA
    ZIP 22701
  • Facility Phone: 540 347-5696
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH KORNETSKY
  • NPI Number: 1851442776
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2069497
LAB Type Physician Office
Facility Name BLUEMONT NEPHROLOGY ASSOCIATES, PC
Street 420 SOUTHRIDGE PARKWAY - SUITE 102
City CULPEPER
State VA
ZIP 22701
Phone 540 347-5696
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director KENNETH KORNETSKY

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