49D2251901 CLIA NUMBER - ORTHO VIRGINIA INC PRINCE GEORGE

Laboratory Demographics

  • CLIA Code: 49D2251901
  • Facility Name: ORTHO VIRGINIA INC PRINCE GEORGE
  • Facility Address: 4710 PUDDLEDOCK RD SUITE 100
    PRINCE GEORGE, VA
    ZIP 23875
  • Facility Phone: 804 327-3022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUG WAYNE
  • NPI Number: 1033548441
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2251901
LAB Type Physician Office
Facility Name ORTHO VIRGINIA INC PRINCE GEORGE
Street 4710 PUDDLEDOCK RD SUITE 100
City PRINCE GEORGE
State VA
ZIP 23875
Phone 804 327-3022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director DOUG WAYNE

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