49D1008087 CLIA NUMBER - ORTHO VIRGINIA

Laboratory Demographics

  • CLIA Code: 49D1008087
  • Facility Name: ORTHO VIRGINIA
  • Facility Address: 5899 BREMO ROAD - SUITE 204
    RICHMOND, VA
    ZIP 23226
  • Facility Phone: 804 282-2226
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TAMMY COURTNEY
  • NPI Number: 1487676094
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1008087
LAB Type Ambulatory Surgery Center
Facility Name ORTHO VIRGINIA
Street 5899 BREMO ROAD - SUITE 204
City RICHMOND
State VA
ZIP 23226
Phone 804 282-2226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Ambulatory Surgery Center
Lab Director TAMMY COURTNEY

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