49D2156295 CLIA NUMBER - MISSION FUNCTIONAL MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 49D2156295
  • Facility Name: MISSION FUNCTIONAL MEDICINE PLLC
  • Facility Address: 230 COSTELLO DR SUITE 210
    WINCHESTER, VA
    ZIP 22602
  • Facility Phone: (540) 247-8476
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURA N. LAWSON
  • NPI Number: 1225514136
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2156295
LAB Type Physician Office
Facility Name MISSION FUNCTIONAL MEDICINE PLLC
Street 230 COSTELLO DR SUITE 210
City WINCHESTER
State VA
ZIP 22602
Phone 5402478476
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 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director LAURA N. LAWSON

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This page was last updated on: 5/18/2026