49D2189308 CLIA NUMBER - FREDERICKSBURG ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 49D2189308
  • Facility Name: FREDERICKSBURG ENDOSCOPY CENTER LLC
  • Facility Address: 1211 CENTRAL PARK BLVD
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 540 408-0800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NARAYAN DHAREL
  • NPI Number: 1306486634
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2189308
LAB Type Ambulatory Surgery Center
Facility Name FREDERICKSBURG ENDOSCOPY CENTER LLC
Street 1211 CENTRAL PARK BLVD
City FREDERICKSBURG
State VA
ZIP 22401
Phone 540 408-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Ambulatory Surgery Center
Lab Director NARAYAN DHAREL

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