49D2105054 CLIA NUMBER - UVA HEALTH URGENT CARE BRISTOW

Laboratory Demographics

CLIA Number: 49D2105054

Facility Name: UVA HEALTH URGENT CARE BRISTOW

Facility Address:
10322 BRISTOW CENTER DR
BRISTOW, VA
ZIP 20136
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Facility Phone Number: 571 284-4245

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972978195

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name	Field Value
CLIA Number	49D2105054
LAB Type	Physician Office
Facility Name	UVA HEALTH URGENT CARE BRISTOW
Street	10322 BRISTOW CENTER DR
City	BRISTOW
State	VA
ZIP	20136
Phone	571 284-4245
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024