49D1059997 CLIA NUMBER - COMMONWEALTH EAR, NOSE AND THROAT SPECIALISTS, PC

Laboratory Demographics

  • CLIA Code: 49D1059997
  • Facility Name: COMMONWEALTH EAR, NOSE AND THROAT SPECIALISTS, PC
  • Facility Address: 1 PARK WEST CIRCLE SUITE 200
    MIDLOTHIAN, VA
    ZIP 23114
  • Facility Phone: 804 378-7443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK J. GIBBONS, MD
  • NPI Number: 1720190390
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 49D1059997
LAB Type Physician Office
Facility Name COMMONWEALTH EAR, NOSE AND THROAT SPECIALISTS, PC
Street 1 PARK WEST CIRCLE SUITE 200
City MIDLOTHIAN
State VA
ZIP 23114
Phone 804 378-7443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director PATRICK J. GIBBONS, MD

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