49D2252979 CLIA NUMBER - THRIVE HOLISTIC HEALING LLC

Laboratory Demographics

  • CLIA Code: 49D2252979
  • Facility Name: THRIVE HOLISTIC HEALING LLC
  • Facility Address: 2761 RICHMOND HWY, SUITE 207
    STAFFORD, VA
    ZIP 22554
  • Facility Phone: 540 824-3880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LATAYA T. WHITAKER
  • NPI Number: 1164157988
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2252979
LAB Type Physician Office
Facility Name THRIVE HOLISTIC HEALING LLC
Street 2761 RICHMOND HWY, SUITE 207
City STAFFORD
State VA
ZIP 22554
Phone 540 824-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director LATAYA T. WHITAKER

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