49D1017924 CLIA NUMBER - FOX & BRANTLEY INTERNAL MEDICINE, PLC A DIVISION OF ANCHOR HEALTHCARE

Laboratory Demographics

  • CLIA Code: 49D1017924
  • Facility Name: FOX & BRANTLEY INTERNAL MEDICINE, PLC A DIVISION OF ANCHOR HEALTHCARE
  • Facility Address: 908 E JEFFERSON STREET SUITE G1
    CHARLOTTESVILLE, VA
    ZIP 22902
  • Facility Phone: 434 244-5684
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEBORAH M. HENDERSON
  • NPI Number: 1801227400
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1017924
LAB Type Physician Office
Facility Name FOX & BRANTLEY INTERNAL MEDICINE, PLC A DIVISION OF ANCHOR HEALTHCARE
Street 908 E JEFFERSON STREET SUITE G1
City CHARLOTTESVILLE
State VA
ZIP 22902
Phone 434 244-5684
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director DEBORAH M. HENDERSON

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