49D1034638 CLIA NUMBER - MIDLOTHIAN MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 49D1034638
  • Facility Name: MIDLOTHIAN MEDICAL CARE
  • Facility Address: 229 WADSWORTH DRIVE
    RICHMOND, VA
    ZIP 23236
  • Facility Phone: 804 228-3627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAY E. BEVERIDGE
  • NPI Number: 1902248941
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1034638
LAB Type Physician Office
Facility Name MIDLOTHIAN MEDICAL CARE
Street 229 WADSWORTH DRIVE
City RICHMOND
State VA
ZIP 23236
Phone 804 228-3627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director CLAY E. BEVERIDGE

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