49D2125623 CLIA NUMBER - BLUE RIDGE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 49D2125623
  • Facility Name: BLUE RIDGE FAMILY PRACTICE
  • Facility Address: 325 FOUR LEAF LANE - SUITE 11A
    CHARLOTTESVILLE, VA
    ZIP 22903
  • Facility Phone: 434 409-3637
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MAURA R. MCLAUGHLIN
  • NPI Number: 1043728439
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2125623
LAB Type Physician Office
Facility Name BLUE RIDGE FAMILY PRACTICE
Street 325 FOUR LEAF LANE - SUITE 11A
City CHARLOTTESVILLE
State VA
ZIP 22903
Phone 434 409-3637
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director MAURA R. MCLAUGHLIN

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