49D0226443 CLIA NUMBER - CHICKAHOMINY FAMILY PHYSICIANS-PROVIDENCE FORGE MEDCARE

Laboratory Demographics

  • CLIA Code: 49D0226443
  • Facility Name: CHICKAHOMINY FAMILY PHYSICIANS-PROVIDENCE FORGE MEDCARE
  • Facility Address: 9010 POCAHONTAS TRAIL
    PROVIDENCE FORGE, VA
    ZIP 23140
  • Facility Phone: (804) 938-4388
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ELIZABETH L. KNOLLMEYER

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CLIA Record

Field Name Field Value
CLIA Number 49D0226443
LAB Type Physician Office
Facility Name CHICKAHOMINY FAMILY PHYSICIANS-PROVIDENCE FORGE MEDCARE
Street 9010 POCAHONTAS TRAIL
City PROVIDENCE FORGE
State VA
ZIP 23140
Phone 8049384388
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director ELIZABETH L. KNOLLMEYER

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This page was last updated on: 5/18/2026