49D0661169 CLIA NUMBER - VCU DENTAL CARE, ORAL DIAGNOSTIC SERVICES

Laboratory Demographics

  • CLIA Code: 49D0661169
  • Facility Name: VCU DENTAL CARE, ORAL DIAGNOSTIC SERVICES
  • Facility Address: 520 NORTH 12TH STREET ROOM 315 LYONS BUILDING
    RICHMOND, VA
    ZIP 23298
  • Facility Phone: 804 828-1778
  • Facility Type: Other - ORAL PATH SERVICES
  • Facility Type: Certificate of Compliance
  • Lab Director: SARAH H. GLASS
  • NPI Number: 1073065173
  • Taxonomy: 1223P0300X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D0661169
LAB Type Other - ORAL PATH SERVICES
Facility Name VCU DENTAL CARE, ORAL DIAGNOSTIC SERVICES
Street 520 NORTH 12TH STREET ROOM 315 LYONS BUILDING
City RICHMOND
State VA
ZIP 23298
Phone 804 828-1778
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 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Other - ORAL PATH SERVICES
Lab Director SARAH H. GLASS

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