49D0922330 CLIA NUMBER - MIDLOTHIAN FAMILY PRACTICE - POWHATAN VIRGINIA PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 49D0922330
  • Facility Name: MIDLOTHIAN FAMILY PRACTICE - POWHATAN VIRGINIA PHYSICIANS, INC
  • Facility Address: 3510 -A ANDERSON HIGHWAY
    POWHATAN, VA
    ZIP 23139
  • Facility Phone: 804 836-1136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA K. AISENBERG
  • NPI Number: 1437256633
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D0922330
LAB Type Physician Office
Facility Name MIDLOTHIAN FAMILY PRACTICE - POWHATAN VIRGINIA PHYSICIANS, INC
Street 3510 -A ANDERSON HIGHWAY
City POWHATAN
State VA
ZIP 23139
Phone 804 836-1136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director LAURA K. AISENBERG

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