49D0665641 CLIA NUMBER - ALBEMARLE CENTER FOR FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D0665641
  • Facility Name: ALBEMARLE CENTER FOR FAMILY MEDICINE
  • Facility Address: 535 WESTFIELD DRIVE SUITE 200
    CHARLOTTESVILLE, VA
    ZIP 22901
  • Facility Phone: 804 973-4040
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HENDRA A. SANUSI
  • NPI Number: 1417973694
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 49D0665641
LAB Type Physician Office
Facility Name ALBEMARLE CENTER FOR FAMILY MEDICINE
Street 535 WESTFIELD DRIVE SUITE 200
City CHARLOTTESVILLE
State VA
ZIP 22901
Phone 804 973-4040
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 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director HENDRA A. SANUSI

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