49D1013023 CLIA NUMBER - LILLIE BENNETT, MD, LTD

Laboratory Demographics

  • CLIA Code: 49D1013023
  • Facility Name: LILLIE BENNETT, MD, LTD
  • Facility Address: 1510 N 28TH STREET - SUITE 207
    RICHMOND, VA
    ZIP 23223
  • Facility Phone: (804) 649-0044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD L. BENNETT
  • NPI Number: 1255456414
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1013023
LAB Type Physician Office
Facility Name LILLIE BENNETT, MD, LTD
Street 1510 N 28TH STREET - SUITE 207
City RICHMOND
State VA
ZIP 23223
Phone 8046490044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Physician Office
Lab Director RICHARD L. BENNETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026