49D0982283 CLIA NUMBER - COMMONWEALTH INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D0982283
  • Facility Name: COMMONWEALTH INTERNAL MEDICINE
  • Facility Address: 9220 FOREST HILL AVENUE - SUITE 1A
    RICHMOND, VA
    ZIP 23235
  • Facility Phone: 804 560-8838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAZAR WOLDEGORGIS
  • NPI Number: 1972833788
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0982283
LAB Type Physician Office
Facility Name COMMONWEALTH INTERNAL MEDICINE
Street 9220 FOREST HILL AVENUE - SUITE 1A
City RICHMOND
State VA
ZIP 23235
Phone 804 560-8838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director ALAZAR WOLDEGORGIS

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