49D0973457 CLIA NUMBER - GOOCHLAND FREE CLINIC AND FAMILY SERVICES

Laboratory Demographics

  • CLIA Code: 49D0973457
  • Facility Name: GOOCHLAND FREE CLINIC AND FAMILY SERVICES
  • Facility Address: 2999 RIVER ROAD WEST
    GOOCHLAND, VA
    ZIP 23063
  • Facility Phone: 804 556-5000
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ROBERT BENNETT
  • NPI Number: 1154347342
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 49D0973457
LAB Type Community Clinic
Facility Name GOOCHLAND FREE CLINIC AND FAMILY SERVICES
Street 2999 RIVER ROAD WEST
City GOOCHLAND
State VA
ZIP 23063
Phone 804 556-5000
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 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Community Clinic
Lab Director ROBERT BENNETT

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