Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
49D2299923
|
|
Clinical laboratory number
|
|
Lab Name
|
CHANTILLY CRISIS RESPONSE CENTER
|
|
Laboratory Name
|
|
Lab Type
|
Other - CRISIS RESIDENTIAL FCLTY
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
602-560-1889
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
14554 LEE ROAD
|
|
Primary location adress line
|
|
City
|
CHANTILLY
|
|
Primary location city name
|
|
State
|
VA
|
|
Primary location state name
|
|
Zip
|
20151
|
|
Primary location postal code
|