49D0226413 CLIA NUMBER - MIDLOTHIAN FAMILY PRACTICE VILLIAGE VIRGINIA PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 49D0226413
  • Facility Name: MIDLOTHIAN FAMILY PRACTICE VILLIAGE VIRGINIA PHYSICIANS INC
  • Facility Address: 13332 MIDLOTHIAN TURNPIKE
    MIDLOTHIAN, VA
    ZIP 23113
  • Facility Phone: 804 836-1136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA K. AISENBERG
  • NPI Number: 1790204196
  • Taxonomy: 247200000X - Technician, Other

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CLIA Record

Field Name Field Value
CLIA Number 49D0226413
LAB Type Physician Office
Facility Name MIDLOTHIAN FAMILY PRACTICE VILLIAGE VIRGINIA PHYSICIANS INC
Street 13332 MIDLOTHIAN TURNPIKE
City MIDLOTHIAN
State VA
ZIP 23113
Phone 804 836-1136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director LAURA K. AISENBERG

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