49D1055250 CLIA NUMBER - CHESTERFIELD IMAGING CENTER RADIOLOGY ASSOCIATES OF RICHMOND

Laboratory Demographics

  • CLIA Code: 49D1055250
  • Facility Name: CHESTERFIELD IMAGING CENTER RADIOLOGY ASSOCIATES OF RICHMOND
  • Facility Address: 13636 HULL STREET SHOPPING CENTER
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 639-5489
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY TALBOTT
  • NPI Number: 1538116108
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1055250
LAB Type Other
Facility Name CHESTERFIELD IMAGING CENTER RADIOLOGY ASSOCIATES OF RICHMOND
Street 13636 HULL STREET SHOPPING CENTER
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 639-5489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Other
Lab Director TIMOTHY TALBOTT

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