49D0668555 CLIA NUMBER - COMMONWEALTH PRIMARY CARE LABORATORY

Laboratory Demographics

  • CLIA Code: 49D0668555
  • Facility Name: COMMONWEALTH PRIMARY CARE LABORATORY
  • Facility Address: 1800 GLENSIDE DRIVE - SUITE 101-A
    RICHMOND, VA
    ZIP 23226
  • Facility Phone: 804 673-3630
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARGARET M. WESTIN
  • NPI Number: 1548213549
  • Taxonomy: 2086X0206X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D0668555
LAB Type Physician Office
Facility Name COMMONWEALTH PRIMARY CARE LABORATORY
Street 1800 GLENSIDE DRIVE - SUITE 101-A
City RICHMOND
State VA
ZIP 23226
Phone 804 673-3630
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 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director MARGARET M. WESTIN

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