49D0949541 CLIA NUMBER - BRUCE D CAMPBELL MD

Laboratory Demographics

  • CLIA Code: 49D0949541
  • Facility Name: BRUCE D CAMPBELL MD
  • Facility Address: 4303 FREE UNION ROAD
    FREE UNION, VA
    ZIP 22940
  • Facility Phone: 804 978-1691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE D. CAMPBELL MD
  • NPI Number: 1700922457
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0949541
LAB Type Physician Office
Facility Name BRUCE D CAMPBELL MD
Street 4303 FREE UNION ROAD
City FREE UNION
State VA
ZIP 22940
Phone 804 978-1691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director BRUCE D. CAMPBELL MD

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