49D1058178 CLIA NUMBER - COLONIAL MEDCARE, PC

Laboratory Demographics

  • CLIA Code: 49D1058178
  • Facility Name: COLONIAL MEDCARE, PC
  • Facility Address: 2801 BOULEVARD - SUITE B
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: (804) 526-0524
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRSHAD AHMED, MD
  • NPI Number: 1255390092
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1058178
LAB Type Physician Office
Facility Name COLONIAL MEDCARE, PC
Street 2801 BOULEVARD - SUITE B
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 8045260524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director IRSHAD AHMED, MD

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This page was last updated on: 5/18/2026