49D2248614 CLIA NUMBER - SIX OAKS MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 49D2248614
  • Facility Name: SIX OAKS MEDICINE LLC
  • Facility Address: 239 FAIRVIEW LANE
    BERRYVILLE, VA
    ZIP 22611
  • Facility Phone: 540 877-4237
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTINE M. AIELLO
  • NPI Number: 1093475766
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2248614
LAB Type Physician Office
Facility Name SIX OAKS MEDICINE LLC
Street 239 FAIRVIEW LANE
City BERRYVILLE
State VA
ZIP 22611
Phone 540 877-4237
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director CHRISTINE M. AIELLO

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