49D0705710 CLIA NUMBER - JAMES RIVER INTERNISTS

Laboratory Demographics

  • CLIA Code: 49D0705710
  • Facility Name: JAMES RIVER INTERNISTS
  • Facility Address: 13440 TREDEGAR LAKE PARKWAY
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 745-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN BRADSHAW, MD
  • NPI Number: 1568409100
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0705710
LAB Type Physician Office
Facility Name JAMES RIVER INTERNISTS
Street 13440 TREDEGAR LAKE PARKWAY
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 745-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director BRIAN BRADSHAW, MD

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This page was last updated on: 3/20/2025