49D2081349 CLIA NUMBER - MINUTECLINIC DIAGNOSTIC OF VIRGINIA, LLC #10454

Laboratory Demographics

  • CLIA Code: 49D2081349
  • Facility Name: MINUTECLINIC DIAGNOSTIC OF VIRGINIA, LLC #10454
  • Facility Address: 1511 JEFF DAVIS HIGHWAY
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 866 389-2727
  • Facility Type: Other - LIMITED SERVICE HEALTH
  • Facility Type: Waiver
  • Lab Director: JEANNE ORZANO
  • NPI Number: 1760810972
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D2081349
LAB Type Other - LIMITED SERVICE HEALTH
Facility Name MINUTECLINIC DIAGNOSTIC OF VIRGINIA, LLC #10454
Street 1511 JEFF DAVIS HIGHWAY
City FREDERICKSBURG
State VA
ZIP 22401
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Other - LIMITED SERVICE HEALTH
Lab Director JEANNE ORZANO

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