49D2139311 CLIA NUMBER - STAFFORD COMMUNITY CORRECTIONS ALTERNATIVE PROGRAM

Laboratory Demographics

  • CLIA Code: 49D2139311
  • Facility Name: STAFFORD COMMUNITY CORRECTIONS ALTERNATIVE PROGRAM
  • Facility Address: 384 ESKIMO HILL ROAD
    STAFFORD, VA
    ZIP 22554
  • Facility Phone: 540 659-2093
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA A. MOSIER
  • NPI Number: 1790209526
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 49D2139311
LAB Type Physician Office
Facility Name STAFFORD COMMUNITY CORRECTIONS ALTERNATIVE PROGRAM
Street 384 ESKIMO HILL ROAD
City STAFFORD
State VA
ZIP 22554
Phone 540 659-2093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director JESSICA A. MOSIER

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