49D2271011 CLIA NUMBER - CARDINAL HEALTHCARE

Laboratory Demographics

  • CLIA Code: 49D2271011
  • Facility Name: CARDINAL HEALTHCARE
  • Facility Address: 436 HOSPITAL DR
    WARRENTON, VA
    ZIP 20186
  • Facility Phone: 540 216-7776
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITRA HAFEZI
  • NPI Number: 1457072100
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 49D2271011
LAB Type Physician Office
Facility Name CARDINAL HEALTHCARE
Street 436 HOSPITAL DR
City WARRENTON
State VA
ZIP 20186
Phone 540 216-7776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director MITRA HAFEZI

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