49D0877392 CLIA NUMBER - LILLIE R BENNETT MD

Laboratory Demographics

  • CLIA Code: 49D0877392
  • Facility Name: LILLIE R BENNETT MD
  • Facility Address: 2513 CHAMBERLAYNE AVENUE
    RICHMOND, VA
    ZIP 23222
  • Facility Phone: 804 321-2651
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILLIE R. BENNETT MD
  • NPI Number: 1588735955
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0877392
LAB Type Physician Office
Facility Name LILLIE R BENNETT MD
Street 2513 CHAMBERLAYNE AVENUE
City RICHMOND
State VA
ZIP 23222
Phone 804 321-2651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director LILLIE R. BENNETT MD

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