49D0226649 CLIA NUMBER - DOMINION MEDICAL ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 49D0226649
  • Facility Name: DOMINION MEDICAL ASSOCIATES INC
  • Facility Address: 304 EAST LEIGH STREET - 1ST FLOOR
    RICHMOND, VA
    ZIP 23219
  • Facility Phone: 804 225-7148
  • Facility Type: Mobile Laboratory
  • Facility Type: Certificate of Compliance
  • Lab Director: RICHARD A. JACKSON
  • NPI Number: 1548711419
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D0226649
LAB Type Mobile Laboratory
Facility Name DOMINION MEDICAL ASSOCIATES INC
Street 304 EAST LEIGH STREET - 1ST FLOOR
City RICHMOND
State VA
ZIP 23219
Phone 804 225-7148
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 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Mobile Laboratory
Lab Director RICHARD A. JACKSON

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