49D2284856 CLIA NUMBER - SANDSTONE CARE VIRGINIA LLC

Laboratory Demographics

CLIA Number: 49D2284856

Facility Name: SANDSTONE CARE VIRGINIA LLC

Facility Address:
5400 SHAWNEE RD, SUITE 101
ALEXANDRIA, VA
ZIP 22312
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Facility Phone Number: 719 284-2231

Facility Type: Other - SUD SERVICES

Certificate Type: Waiver

NPI Number: 1609551043

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	49D2284856
LAB Type	Other - SUD SERVICES
Facility Name	SANDSTONE CARE VIRGINIA LLC
Street	5400 SHAWNEE RD, SUITE 101
City	ALEXANDRIA
State	VA
ZIP	22312
Phone	719 284-2231
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024