49D2276616 CLIA NUMBER - MAP RC LLC DBA PRIME REGENERATIVE AND PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 49D2276616
  • Facility Name: MAP RC LLC DBA PRIME REGENERATIVE AND PAIN MANAGEMENT
  • Facility Address: 2565 COWAN BLVD
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 540 659-5414
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHEN K. OKINE
  • NPI Number: 1205394855
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 49D2276616
LAB Type Physician Office
Facility Name MAP RC LLC DBA PRIME REGENERATIVE AND PAIN MANAGEMENT
Street 2565 COWAN BLVD
City FREDERICKSBURG
State VA
ZIP 22401
Phone 540 659-5414
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director STEPHEN K. OKINE

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