49D2278414 CLIA NUMBER - YOUTH CRISIS THERAPEUTIC HOME

Laboratory Demographics

  • CLIA Code: 49D2278414
  • Facility Name: YOUTH CRISIS THERAPEUTIC HOME
  • Facility Address: 12327 CAMPBELL WAY
    CULPEPER, VA
    ZIP 22701
  • Facility Phone: 202 906-0843
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: ADRIENNE RANDALL

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CLIA Record

Field Name Field Value
CLIA Number 49D2278414
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name YOUTH CRISIS THERAPEUTIC HOME
Street 12327 CAMPBELL WAY
City CULPEPER
State VA
ZIP 22701
Phone 202 906-0843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ADRIENNE RANDALL

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This page was last updated on: 6/4/2025