49D2134575 CLIA NUMBER - PRINCE WILLIAM COUNTY COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 49D2134575
  • Facility Name: PRINCE WILLIAM COUNTY COMMUNITY SERVICES
  • Facility Address: 7969 ASHTON AVENUE
    MANASSAS, VA
    ZIP 20109
  • Facility Phone: 703 792-7894
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LISA C. MADRON
  • NPI Number: 1902342934
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2134575
LAB Type Community Clinic
Facility Name PRINCE WILLIAM COUNTY COMMUNITY SERVICES
Street 7969 ASHTON AVENUE
City MANASSAS
State VA
ZIP 20109
Phone 703 792-7894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Community Clinic
Lab Director LISA C. MADRON

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