49D0992683 CLIA NUMBER - COMMONWEALTH FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 49D0992683
  • Facility Name: COMMONWEALTH FAMILY PRACTICE
  • Facility Address: 10201 KRAUSE ROAD
    CHESTERFIELD, VA
    ZIP 23832
  • Facility Phone: 804 748-6229
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN K. SIEGRIST
  • NPI Number: 1215936547
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 49D0992683
LAB Type Physician Office
Facility Name COMMONWEALTH FAMILY PRACTICE
Street 10201 KRAUSE ROAD
City CHESTERFIELD
State VA
ZIP 23832
Phone 804 748-6229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director STEPHEN K. SIEGRIST

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