49D2119180 CLIA NUMBER - CENTRA CARDIOPULMONARY REHAB JAMERSON YMCA

Laboratory Demographics

CLIA Code: 49D2119180
Facility Name: CENTRA CARDIOPULMONARY REHAB JAMERSON YMCA
Facility Address: 801 WYNDHURST DRIVE
LYNCHBURG, VA
ZIP 24502
Facility Phone: 434 237-8163
Facility Type: Other - CARDIO REHAB OUTPATIET
Facility Type: Waiver
Lab Director: SUSAN FALCONER
NPI Number: 1023343670
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	49D2119180
LAB Type	Other - CARDIO REHAB OUTPATIET
Facility Name	CENTRA CARDIOPULMONARY REHAB JAMERSON YMCA
Street	801 WYNDHURST DRIVE
City	LYNCHBURG
State	VA
ZIP	24502
Phone	434 237-8163
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/21/2024
Certificate Expiration Date	9/20/2026
Facility Type	Other - CARDIO REHAB OUTPATIET
Lab Director	SUSAN FALCONER

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