49D0227069 CLIA NUMBER - PEDIATRIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 49D0227069
  • Facility Name: PEDIATRIC ASSOCIATES PC
  • Facility Address: 1001 HIOAKS RD
    RICHMOND, VA
    ZIP 23225
  • Facility Phone: 804 320-7139
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOB A. ARCHULETA
  • NPI Number: 1346475076
  • Taxonomy: 364SP0200X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D0227069
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES PC
Street 1001 HIOAKS RD
City RICHMOND
State VA
ZIP 23225
Phone 804 320-7139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director BOB A. ARCHULETA

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