49D2267145 CLIA NUMBER - SILOAM DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D2267145
  • Facility Name: SILOAM DIRECT PRIMARY CARE
  • Facility Address: 2485 STUARTS DRAFT HWY
    STUARTS DRAFT, VA
    ZIP 24477
  • Facility Phone: 540 221-2959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATY C. LOPEZ VASQUEZ
  • NPI Number: 1033909247
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2267145
LAB Type Physician Office
Facility Name SILOAM DIRECT PRIMARY CARE
Street 2485 STUARTS DRAFT HWY
City STUARTS DRAFT
State VA
ZIP 24477
Phone 540 221-2959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director KATY C. LOPEZ VASQUEZ

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