49D2290681 CLIA NUMBER - TWELVESTONE INFUSION CENTERS

Laboratory Demographics

  • CLIA Code: 49D2290681
  • Facility Name: TWELVESTONE INFUSION CENTERS
  • Facility Address: 24430 STONE SPRINGS BLVD, SUITE 515
    DULLES, VA
    ZIP 20166
  • Facility Phone: 615 278-3278
  • Facility Type: Other - INFUSION CENTER
  • Facility Type: Waiver
  • Lab Director: BONNIE PAINE
  • NPI Number: 1972298503
  • Taxonomy: 163WI0500X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 49D2290681
LAB Type Other - INFUSION CENTER
Facility Name TWELVESTONE INFUSION CENTERS
Street 24430 STONE SPRINGS BLVD, SUITE 515
City DULLES
State VA
ZIP 20166
Phone 615 278-3278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2023
Certificate Expiration Date 9/27/2025
Facility Type Other - INFUSION CENTER
Lab Director BONNIE PAINE

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