49D0917153 CLIA NUMBER - SANDSTON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D0917153
  • Facility Name: SANDSTON PRIMARY CARE
  • Facility Address: 5 EAST WILLIAMSBURG ROAD
    SANDSTON, VA
    ZIP 23150
  • Facility Phone: 804 737-7804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KASEY BURCH
  • NPI Number: 1265534382
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 49D0917153
LAB Type Physician Office
Facility Name SANDSTON PRIMARY CARE
Street 5 EAST WILLIAMSBURG ROAD
City SANDSTON
State VA
ZIP 23150
Phone 804 737-7804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director KASEY BURCH

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