49D0858516 CLIA NUMBER - LONGWOOD UNIVERSITY HEALTHCARE CENTER POTOMAC HEALTHCARE SOLUTIONS

Laboratory Demographics

  • CLIA Code: 49D0858516
  • Facility Name: LONGWOOD UNIVERSITY HEALTHCARE CENTER POTOMAC HEALTHCARE SOLUTIONS
  • Facility Address: 106 MIDTOWN AVE
    FARMVILLE, VA
    ZIP 23901
  • Facility Phone: 434 395-2102
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: ROBERT C. WADE
  • NPI Number: 1962881631
  • Taxonomy: 332S00000X - Hearing Aid Equipment

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CLIA Record

Field Name Field Value
CLIA Number 49D0858516
LAB Type School/Student Health Service
Facility Name LONGWOOD UNIVERSITY HEALTHCARE CENTER POTOMAC HEALTHCARE SOLUTIONS
Street 106 MIDTOWN AVE
City FARMVILLE
State VA
ZIP 23901
Phone 434 395-2102
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 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type School/Student Health Service
Lab Director ROBERT C. WADE

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