49D0990973 CLIA NUMBER - RICHMOND MULTI SPECIALTY - FDC PEDS

Laboratory Demographics

  • CLIA Code: 49D0990973
  • Facility Name: RICHMOND MULTI SPECIALTY - FDC PEDS
  • Facility Address: 4701 SPOTSYLVANIA PARKWAY, SUITE 205
    FREDERICKSBURG, VA
    ZIP 22407
  • Facility Phone: 540 834-5443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA S. SIMES
  • NPI Number: 1720653306
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D0990973
LAB Type Physician Office
Facility Name RICHMOND MULTI SPECIALTY - FDC PEDS
Street 4701 SPOTSYLVANIA PARKWAY, SUITE 205
City FREDERICKSBURG
State VA
ZIP 22407
Phone 540 834-5443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director REBECCA S. SIMES

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