49D2156277 CLIA NUMBER - WELLSPRING SPECIALITY CLINIC DBA RIDGELINE PHYSICIANS SERVICES

Laboratory Demographics

  • CLIA Code: 49D2156277
  • Facility Name: WELLSPRING SPECIALITY CLINIC DBA RIDGELINE PHYSICIANS SERVICES
  • Facility Address: 891 WILLIS LANE
    CULPEPER, VA
    ZIP 22701
  • Facility Phone: 540 825-4557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALID ATHAR
  • NPI Number: 1952627119
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2156277
LAB Type Physician Office
Facility Name WELLSPRING SPECIALITY CLINIC DBA RIDGELINE PHYSICIANS SERVICES
Street 891 WILLIS LANE
City CULPEPER
State VA
ZIP 22701
Phone 540 825-4557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director KHALID ATHAR

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