49D2091511 CLIA NUMBER - MOUNTAIN RIDGE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D2091511
  • Facility Name: MOUNTAIN RIDGE PEDIATRICS
  • Facility Address: 2034 PRO POINTE LANE
    HARRISONBURG, VA
    ZIP 22801
  • Facility Phone: 540 217-5333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMIE S. HUTTON
  • NPI Number: 1043423676
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D2091511
LAB Type Physician Office
Facility Name MOUNTAIN RIDGE PEDIATRICS
Street 2034 PRO POINTE LANE
City HARRISONBURG
State VA
ZIP 22801
Phone 540 217-5333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director JAMIE S. HUTTON

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