49D2299923 CLIA NUMBER - CHANTILLY CRISIS RESPONSE CENTER

Laboratory Demographics

  • CLIA Code: 49D2299923
  • Facility Name: CHANTILLY CRISIS RESPONSE CENTER
  • Facility Address: 14554 LEE ROAD
    CHANTILLY, VA
    ZIP 20151
  • Facility Phone: 602 560-1889
  • Facility Type: Other - CRISIS RESIDENTIAL FCLTY
  • Facility Type: Waiver
  • Lab Director: ROBERT WILLIAMSON
  • NPI Number: 1265444053
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2299923
LAB Type Other - CRISIS RESIDENTIAL FCLTY
Facility Name CHANTILLY CRISIS RESPONSE CENTER
Street 14554 LEE ROAD
City CHANTILLY
State VA
ZIP 20151
Phone 602 560-1889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - CRISIS RESIDENTIAL FCLTY
Lab Director ROBERT WILLIAMSON

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