49D2190737 CLIA NUMBER - THE BLAKE AT CHARLOTTESVILLE

Laboratory Demographics

  • CLIA Code: 49D2190737
  • Facility Name: THE BLAKE AT CHARLOTTESVILLE
  • Facility Address: 250 NICHOLS COURT
    CHARLOTTESVILLE, VA
    ZIP 22901
  • Facility Phone: 434 973-7900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GAYLE B. COX
  • NPI Number: 1679265482
  • Taxonomy: 3104A0630X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2190737
LAB Type Assisted Living Facility
Facility Name THE BLAKE AT CHARLOTTESVILLE
Street 250 NICHOLS COURT
City CHARLOTTESVILLE
State VA
ZIP 22901
Phone 434 973-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Assisted Living Facility
Lab Director GAYLE B. COX

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