49D1053473 CLIA NUMBER - BON SECOURS RICHMOND OB-GYN ST FRANCIS MEDICAL CENTER - MOB

Laboratory Demographics

  • CLIA Code: 49D1053473
  • Facility Name: BON SECOURS RICHMOND OB-GYN ST FRANCIS MEDICAL CENTER - MOB
  • Facility Address: 13700 ST FRANCIS BOULEVARD - SUITE 305
    MIDLOTHIAN, VA
    ZIP 23114
  • Facility Phone: 804 521-7855
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TRACY I. HICKS
  • NPI Number: 1982857231
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D1053473
LAB Type Physician Office
Facility Name BON SECOURS RICHMOND OB-GYN ST FRANCIS MEDICAL CENTER - MOB
Street 13700 ST FRANCIS BOULEVARD - SUITE 305
City MIDLOTHIAN
State VA
ZIP 23114
Phone 804 521-7855
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director TRACY I. HICKS

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