49D2307513 CLIA NUMBER - MISSION PREP HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 49D2307513
  • Facility Name: MISSION PREP HEALTHCARE LLC
  • Facility Address: 14703 CLOVER HILL ROAD
    WATERFORD, VA
    ZIP 20197
  • Facility Phone: 949 313-4709
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: WILLIAM DODGE

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CLIA Record

Field Name Field Value
CLIA Number 49D2307513
LAB Type Other - GROUP HOME
Facility Name MISSION PREP HEALTHCARE LLC
Street 14703 CLOVER HILL ROAD
City WATERFORD
State VA
ZIP 20197
Phone 949 313-4709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Other - GROUP HOME
Lab Director WILLIAM DODGE

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