49D2297028 CLIA NUMBER - BLUE RIDGE INDEPENDENCE AT HOME

Laboratory Demographics

  • CLIA Code: 49D2297028
  • Facility Name: BLUE RIDGE INDEPENDENCE AT HOME
  • Facility Address: 2333 VALOR DRIVE
    WINCHESTER, VA
    ZIP 22601
  • Facility Phone: 540 313-9333
  • Facility Type: Other - PACE
  • Facility Type: Waiver
  • Lab Director: BRENDAN FLYNN
  • NPI Number: 1265543631
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2297028
LAB Type Other - PACE
Facility Name BLUE RIDGE INDEPENDENCE AT HOME
Street 2333 VALOR DRIVE
City WINCHESTER
State VA
ZIP 22601
Phone 540 313-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Other - PACE
Lab Director BRENDAN FLYNN

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