49D0227308 CLIA NUMBER - MELHORN & MELHORN, DO, INC

Laboratory Demographics

CLIA Number: 49D0227308

Facility Name: MELHORN & MELHORN, DO, INC

Facility Address:
1504 SANTA ROSA ROAD - SUITE 103
RICHMOND, VA
ZIP 23226
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Facility Phone Number: 804 288-6414

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821007584

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	49D0227308
LAB Type	Physician Office
Facility Name	MELHORN & MELHORN, DO, INC
Street	1504 SANTA ROSA ROAD - SUITE 103
City	RICHMOND
State	VA
ZIP	23226
Phone	804 288-6414
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024