49D0665322 CLIA NUMBER - CHP CENTRAL VIRGINIA FAMILY PRACTICE APPOMATTOX

Laboratory Demographics

  • CLIA Code: 49D0665322
  • Facility Name: CHP CENTRAL VIRGINIA FAMILY PRACTICE APPOMATTOX
  • Facility Address: 131 JONES STREET
    APPOMATTOX, VA
    ZIP 24522
  • Facility Phone: 434 382-1125
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TEODORA BROSE
  • NPI Number: 1437215704
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0665322
LAB Type Physician Office
Facility Name CHP CENTRAL VIRGINIA FAMILY PRACTICE APPOMATTOX
Street 131 JONES STREET
City APPOMATTOX
State VA
ZIP 24522
Phone 434 382-1125
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director TEODORA BROSE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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