49D2195763 CLIA NUMBER - COMMONWEALTH SENIOR LIVING AT FREDERICKSBURG

Laboratory Demographics

  • CLIA Code: 49D2195763
  • Facility Name: COMMONWEALTH SENIOR LIVING AT FREDERICKSBURG
  • Facility Address: 1001 NORTHSIDE DRIVE
    FREDERICKSBURG, VA
    ZIP 22405
  • Facility Phone: 540 374-8200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE HAMILTON
  • NPI Number: 1417973090
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D2195763
LAB Type Assisted Living Facility
Facility Name COMMONWEALTH SENIOR LIVING AT FREDERICKSBURG
Street 1001 NORTHSIDE DRIVE
City FREDERICKSBURG
State VA
ZIP 22405
Phone 540 374-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Assisted Living Facility
Lab Director MICHELLE HAMILTON

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