49D2243193 CLIA NUMBER - WILLIAMSBURG HOUSE OF MERCY

Laboratory Demographics

  • CLIA Code: 49D2243193
  • Facility Name: WILLIAMSBURG HOUSE OF MERCY
  • Facility Address: 10 HARRISON AVENUE
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 229-3700
  • Facility Type: Other - HOMELESS OUTREACH
  • Facility Type: Waiver
  • Lab Director: SHANNON D. WOLOSZYNOWSKI
  • NPI Number: 1497142004
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 49D2243193
LAB Type Other - HOMELESS OUTREACH
Facility Name WILLIAMSBURG HOUSE OF MERCY
Street 10 HARRISON AVENUE
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 229-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Other - HOMELESS OUTREACH
Lab Director SHANNON D. WOLOSZYNOWSKI

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