49D0723369 CLIA NUMBER - CHARLOTTESVILLE FREE CLINIC

Laboratory Demographics

  • CLIA Code: 49D0723369
  • Facility Name: CHARLOTTESVILLE FREE CLINIC
  • Facility Address: 901 PRESTON AVE SUITE 301
    CHARLOTTESVILLE, VA
    ZIP 22903
  • Facility Phone: 804 296-5525
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DAVIDL E. NORMANSELL
  • NPI Number: 1477089639
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D0723369
LAB Type Community Clinic
Facility Name CHARLOTTESVILLE FREE CLINIC
Street 901 PRESTON AVE SUITE 301
City CHARLOTTESVILLE
State VA
ZIP 22903
Phone 804 296-5525
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 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Community Clinic
Lab Director DAVIDL E. NORMANSELL

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