49D2131302 CLIA NUMBER - LAKE MANASSAS HEALTH & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 49D2131302
  • Facility Name: LAKE MANASSAS HEALTH & REHABILITATION CENTER
  • Facility Address: 14935 HOLLY KNOLL LANE
    GAINESVILLE, VA
    ZIP 20155
  • Facility Phone: 703 743-3999
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BEVERLY L. GREENE
  • NPI Number: 1578137725
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2131302
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKE MANASSAS HEALTH & REHABILITATION CENTER
Street 14935 HOLLY KNOLL LANE
City GAINESVILLE
State VA
ZIP 20155
Phone 703 743-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BEVERLY L. GREENE

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