49D1000549 CLIA NUMBER - RICHMOND PLASTIC SURGEONS, INC

Laboratory Demographics

  • CLIA Code: 49D1000549
  • Facility Name: RICHMOND PLASTIC SURGEONS, INC
  • Facility Address: 5899 BREMO ROAD - SUITE 205
    RICHMOND, VA
    ZIP 23226
  • Facility Phone: 804 285-4115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISSAC L. WOMOM
  • NPI Number: 1265523054
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D1000549
LAB Type Physician Office
Facility Name RICHMOND PLASTIC SURGEONS, INC
Street 5899 BREMO ROAD - SUITE 205
City RICHMOND
State VA
ZIP 23226
Phone 804 285-4115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director ISSAC L. WOMOM

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