49D2264835 CLIA NUMBER - MARSHALL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2264835
  • Facility Name: MARSHALL FAMILY MEDICINE
  • Facility Address: 4197C WINCHESTER RD
    MARSHALL, VA
    ZIP 20115
  • Facility Phone: (540) 422-5782
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THUY LAN T. OLSON
  • NPI Number: 1023767902
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2264835
LAB Type Physician Office
Facility Name MARSHALL FAMILY MEDICINE
Street 4197C WINCHESTER RD
City MARSHALL
State VA
ZIP 20115
Phone 5404225782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director THUY LAN T. OLSON

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This page was last updated on: 5/18/2026