49D0982277 CLIA NUMBER - HALLMARK YOUTHCARE-RICHMOND

Laboratory Demographics

  • CLIA Code: 49D0982277
  • Facility Name: HALLMARK YOUTHCARE-RICHMOND
  • Facility Address: 12800 WEST CREEK PARKWAY
    RICHMOND, VA
    ZIP 23238
  • Facility Phone: 804 784-2200
  • Facility Type: Other - ADOL. RESIDENTIAL CTR
  • Facility Type: Waiver
  • Lab Director: GRETCHEN E. RHODENIZER
  • NPI Number: 1063732915
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D0982277
LAB Type Other - ADOL. RESIDENTIAL CTR
Facility Name HALLMARK YOUTHCARE-RICHMOND
Street 12800 WEST CREEK PARKWAY
City RICHMOND
State VA
ZIP 23238
Phone 804 784-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Other - ADOL. RESIDENTIAL CTR
Lab Director GRETCHEN E. RHODENIZER

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