49D0867674 CLIA NUMBER - COMMONWEALTH PEDIATRICS

Laboratory Demographics

CLIA Number: 49D0867674

Facility Name: COMMONWEALTH PEDIATRICS

Facility Address:
6510 HARBOUR VIEW COURT SUITE 100
MIDLOTHIAN, VA
ZIP 23112
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Facility Phone Number: 804 739-8166

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1982140620

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	49D0867674
LAB Type	Physician Office
Facility Name	COMMONWEALTH PEDIATRICS
Street	6510 HARBOUR VIEW COURT SUITE 100
City	MIDLOTHIAN
State	VA
ZIP	23112
Phone	804 739-8166
CertificateType	2
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Compliance

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