49D2194024 CLIA NUMBER - LIVING WATERS SENIOR CARE

Laboratory Demographics

  • CLIA Code: 49D2194024
  • Facility Name: LIVING WATERS SENIOR CARE
  • Facility Address: 379 NORTH MAIN STREET
    TIMBERVILLE, VA
    ZIP 22853
  • Facility Phone: 540 901-2762
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANDRE C. CUBBAGE
  • NPI Number: 1699941294
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2194024
LAB Type Assisted Living Facility
Facility Name LIVING WATERS SENIOR CARE
Street 379 NORTH MAIN STREET
City TIMBERVILLE
State VA
ZIP 22853
Phone 540 901-2762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Assisted Living Facility
Lab Director ANDRE C. CUBBAGE

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