49D2108050 CLIA NUMBER - QUAD MED-KOHLS WINCHESTER

Laboratory Demographics

  • CLIA Code: 49D2108050
  • Facility Name: QUAD MED-KOHLS WINCHESTER
  • Facility Address: 300 ADMIRAL BYRDD DRIVE
    WINCHESTER, VA
    ZIP 22602
  • Facility Phone: 317 713-1881
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COURTNEY YOUNG
  • NPI Number: 1750828687
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2108050
LAB Type Physician Office
Facility Name QUAD MED-KOHLS WINCHESTER
Street 300 ADMIRAL BYRDD DRIVE
City WINCHESTER
State VA
ZIP 22602
Phone 317 713-1881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director COURTNEY YOUNG

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