49D2289705 CLIA NUMBER - WARRIORS HEART VIRGINIA

Laboratory Demographics

  • CLIA Code: 49D2289705
  • Facility Name: WARRIORS HEART VIRGINIA
  • Facility Address: 20500 DEVASYA LN
    MILFORD, VA
    ZIP 22514
  • Facility Phone: 830 328-1886
  • Facility Type: Other - SUD RESIDENT TX PRG
  • Facility Type: Waiver
  • Lab Director: JEFFREY HOLT
  • NPI Number: 1629852959
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2289705
LAB Type Other - SUD RESIDENT TX PRG
Facility Name WARRIORS HEART VIRGINIA
Street 20500 DEVASYA LN
City MILFORD
State VA
ZIP 22514
Phone 830 328-1886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2023
Certificate Expiration Date 9/13/2025
Facility Type Other - SUD RESIDENT TX PRG
Lab Director JEFFREY HOLT

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This page was last updated on: 3/20/2025