49D0905058 CLIA NUMBER - EDWARD T WOLANSKI, MD, PC

Laboratory Demographics

  • CLIA Code: 49D0905058
  • Facility Name: EDWARD T WOLANSKI, MD, PC
  • Facility Address: 600 PETER JEFFERSON PARKWAY - SUITE 300
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: 434 293-9800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWARD T. WOLANSKI MD
  • NPI Number: 1578544953
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 49D0905058
LAB Type Physician Office
Facility Name EDWARD T WOLANSKI, MD, PC
Street 600 PETER JEFFERSON PARKWAY - SUITE 300
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 434 293-9800
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 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director EDWARD T. WOLANSKI MD

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