49D1026057 CLIA NUMBER - VIRGINIA WOMENS CENTER DIVISION OF SUMMIT HEALTHCARE, INC

Laboratory Demographics

  • CLIA Code: 49D1026057
  • Facility Name: VIRGINIA WOMENS CENTER DIVISION OF SUMMIT HEALTHCARE, INC
  • Facility Address: 102 DMV DRIVE
    KILMARNOCK, VA
    ZIP 22482
  • Facility Phone: 804 662-6100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS P. HUTCHESON
  • NPI Number: 1225147895
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1026057
LAB Type Physician Office
Facility Name VIRGINIA WOMENS CENTER DIVISION OF SUMMIT HEALTHCARE, INC
Street 102 DMV DRIVE
City KILMARNOCK
State VA
ZIP 22482
Phone 804 662-6100
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 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director DOUGLAS P. HUTCHESON

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