49D2180998 CLIA NUMBER - CULPEPER TREATMENT SEVICES, LLC

Laboratory Demographics

CLIA Number: 49D2180998

Facility Name: CULPEPER TREATMENT SEVICES, LLC

Facility Address:
571 JAMES MADISON HIGHWAY, SUITE D
CULPEPER, VA
ZIP 22701
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Facility Phone Number: 540 547-3769

Facility Type: Other - OPIOID TREATMENT

Certificate Type: Waiver

NPI Number: 1417573585

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	49D2180998
LAB Type	Other - OPIOID TREATMENT
Facility Name	CULPEPER TREATMENT SEVICES, LLC
Street	571 JAMES MADISON HIGHWAY, SUITE D
City	CULPEPER
State	VA
ZIP	22701
Phone	540 547-3769
CertificateType	4
CertificateEffectiveDate	3/25/2024
CertificateExpirationDate	3/24/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024