49D2119536 CLIA NUMBER - RIDGELINE PHYSICIAN SERVICES DBA WELLSPRING HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 49D2119536
  • Facility Name: RIDGELINE PHYSICIAN SERVICES DBA WELLSPRING HEALTH SERVICES
  • Facility Address: 15237 CREATIVITY DRIVE
    CULPEPER, VA
    ZIP 22701
  • Facility Phone: 540 321-4281
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALID ATHAR
  • NPI Number: 1356874275
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2119536
LAB Type Physician Office
Facility Name RIDGELINE PHYSICIAN SERVICES DBA WELLSPRING HEALTH SERVICES
Street 15237 CREATIVITY DRIVE
City CULPEPER
State VA
ZIP 22701
Phone 540 321-4281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director KHALID ATHAR

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This page was last updated on: 3/20/2025