49D0857055 CLIA NUMBER - CENTRAL VIRGINIA OB GYN GROUP, INC

Laboratory Demographics

  • CLIA Code: 49D0857055
  • Facility Name: CENTRAL VIRGINIA OB GYN GROUP, INC
  • Facility Address: 4541 SPOTSYLVANIA PARKWAY
    FREDERICKSBURG, VA
    ZIP 22408
  • Facility Phone: 540 373-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HYUNG JOON KIL
  • NPI Number: 1033151733
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 49D0857055
LAB Type Physician Office
Facility Name CENTRAL VIRGINIA OB GYN GROUP, INC
Street 4541 SPOTSYLVANIA PARKWAY
City FREDERICKSBURG
State VA
ZIP 22408
Phone 540 373-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HYUNG JOON KIL

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