49D2182234 CLIA NUMBER - REVERENT MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 49D2182234
  • Facility Name: REVERENT MEDICAL GROUP, INC
  • Facility Address: 623 JEFFERSON DAVIS HIGHWAY, SUITE 101
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 800 452-5574
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONNA F. CYRUS
  • NPI Number: 1457861403
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2182234
LAB Type Physician Office
Facility Name REVERENT MEDICAL GROUP, INC
Street 623 JEFFERSON DAVIS HIGHWAY, SUITE 101
City FREDERICKSBURG
State VA
ZIP 22401
Phone 800 452-5574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director DONNA F. CYRUS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025