49D2202946 CLIA NUMBER - MANASSAS ADDICTION CENTER LLC

Laboratory Demographics

  • CLIA Code: 49D2202946
  • Facility Name: MANASSAS ADDICTION CENTER LLC
  • Facility Address: 9001 DIGGES ROAD SUITE 104
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 703 239-3602
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NANCYE L. SADLER
  • NPI Number: 1225692015
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2202946
LAB Type Practitioner Other
Facility Name MANASSAS ADDICTION CENTER LLC
Street 9001 DIGGES ROAD SUITE 104
City MANASSAS
State VA
ZIP 20110
Phone 703 239-3602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Practitioner Other
Lab Director NANCYE L. SADLER

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