49D0226196 CLIA NUMBER - BON SECOURS HARTFIELD MEDICAL CENTR

Laboratory Demographics

  • CLIA Code: 49D0226196
  • Facility Name: BON SECOURS HARTFIELD MEDICAL CENTR
  • Facility Address: 9891 GENERAL PULLER HWY
    HARTFIELD, VA
    ZIP 23071
  • Facility Phone: 804 776-9221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIGITTE WOLF-SMALL
  • NPI Number: 1013407543
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D0226196
LAB Type Physician Office
Facility Name BON SECOURS HARTFIELD MEDICAL CENTR
Street 9891 GENERAL PULLER HWY
City HARTFIELD
State VA
ZIP 23071
Phone 804 776-9221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director BRIGITTE WOLF-SMALL

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