49D2301001 CLIA NUMBER - AUGUSTA HEALTH COMMUNITY CLINIC-FISHERSVILLE

Laboratory Demographics

  • CLIA Code: 49D2301001
  • Facility Name: AUGUSTA HEALTH COMMUNITY CLINIC-FISHERSVILLE
  • Facility Address: 72 MEDICAL CENTER DRIVE 2ND FLOOR HEART & VASCULAR
    FISHERSVILLE, VA
    ZIP 22939
  • Facility Phone: 540 332-5595
  • Facility Type: Other - HOSP OWNED OFFICE PRAC
  • Facility Type: Microscopy
  • Lab Director: JESSICAH S. COLLINS
  • NPI Number: 1053301127
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 49D2301001
LAB Type Other - HOSP OWNED OFFICE PRAC
Facility Name AUGUSTA HEALTH COMMUNITY CLINIC-FISHERSVILLE
Street 72 MEDICAL CENTER DRIVE 2ND FLOOR HEART & VASCULAR
City FISHERSVILLE
State VA
ZIP 22939
Phone 540 332-5595
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Other - HOSP OWNED OFFICE PRAC
Lab Director JESSICAH S. COLLINS

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