49D0688150 CLIA NUMBER - RICHMOND ALLERGY AND ASTHMA SPECIALISTS, INC

Laboratory Demographics

CLIA Number: 49D0688150

Facility Name: RICHMOND ALLERGY AND ASTHMA SPECIALISTS, INC

Facility Address:
9920 INDEPENDENCE PARK DRIVE - SUITE 100
RICHMOND, VA
ZIP 23233
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Facility Phone Number: 804 285-7420

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548367733

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	49D0688150
LAB Type	Physician Office
Facility Name	RICHMOND ALLERGY AND ASTHMA SPECIALISTS, INC
Street	9920 INDEPENDENCE PARK DRIVE - SUITE 100
City	RICHMOND
State	VA
ZIP	23233
Phone	804 285-7420
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024