49D0986173 CLIA NUMBER - HERMITAGE,THE

Laboratory Demographics

  • CLIA Code: 49D0986173
  • Facility Name: HERMITAGE,THE
  • Facility Address: 1600 WESTWOOD AVENUE
    RICHMOND, VA
    ZIP 23227
  • Facility Phone: 804 355-5721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN FOSTER
  • NPI Number: 1508085036
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0986173
LAB Type Physician Office
Facility Name HERMITAGE,THE
Street 1600 WESTWOOD AVENUE
City RICHMOND
State VA
ZIP 23227
Phone 804 355-5721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director BRIAN FOSTER

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