49D2262542 CLIA NUMBER - VIRGINIA ADDICTION MANAGEMENT LLC DBA VIRGINIA RECOVERY

Laboratory Demographics

CLIA Number: 49D2262542

Facility Name: VIRGINIA ADDICTION MANAGEMENT LLC DBA VIRGINIA RECOVERY

Facility Address:
320 N HAWKSBILL STREET
LURAY, VA
ZIP 22835
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Facility Phone Number: 540 278-2228

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1780166777

Taxonomy: 207QA0401X - Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.

CLIA Record

Field Name	Field Value
CLIA Number	49D2262542
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	VIRGINIA ADDICTION MANAGEMENT LLC DBA VIRGINIA RECOVERY
Street	320 N HAWKSBILL STREET
City	LURAY
State	VA
ZIP	22835
Phone	540 278-2228
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024