49D2245039 CLIA NUMBER - PRISTINE HOME HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 49D2245039
  • Facility Name: PRISTINE HOME HEALTH SERVICES LLC
  • Facility Address: 137 HEATHERSTONE DR
    FREDERICKSBURG, VA
    ZIP 22407
  • Facility Phone: 540 548-2958
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HOSAMELDIN M. BEBARS
  • NPI Number: 1417549239
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2245039
LAB Type Home Health Agency
Facility Name PRISTINE HOME HEALTH SERVICES LLC
Street 137 HEATHERSTONE DR
City FREDERICKSBURG
State VA
ZIP 22407
Phone 540 548-2958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Home Health Agency
Lab Director HOSAMELDIN M. BEBARS

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