49D0227708 CLIA NUMBER - MONUMENT AVENUE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 49D0227708
  • Facility Name: MONUMENT AVENUE PEDIATRICS PC
  • Facility Address: 3602 MONUMENT AVE
    RICHMOND, VA
    ZIP 23230
  • Facility Phone: 804 358-4904
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRACE R. SOLTYS
  • NPI Number: 1831286996
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D0227708
LAB Type Physician Office
Facility Name MONUMENT AVENUE PEDIATRICS PC
Street 3602 MONUMENT AVE
City RICHMOND
State VA
ZIP 23230
Phone 804 358-4904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director GRACE R. SOLTYS

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