49D2313725 CLIA NUMBER - PASADENA VILLA - THE GROVE

Laboratory Demographics

  • CLIA Code: 49D2313725
  • Facility Name: PASADENA VILLA - THE GROVE
  • Facility Address: 3017 SOMERVILLE ROAD
    LOCUST GROVE, VA
    ZIP 22508
  • Facility Phone: 540 251-6166
  • Facility Type: Other - RESIDENTIAL TREATMENT CTR
  • Facility Type: Waiver
  • Lab Director: JOHN KUPFNER

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CLIA Record

Field Name Field Value
CLIA Number 49D2313725
LAB Type Other - RESIDENTIAL TREATMENT CTR
Facility Name PASADENA VILLA - THE GROVE
Street 3017 SOMERVILLE ROAD
City LOCUST GROVE
State VA
ZIP 22508
Phone 540 251-6166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Other - RESIDENTIAL TREATMENT CTR
Lab Director JOHN KUPFNER

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