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

Laboratory Demographics

CLIA Number: 49D1059997

Facility Name: COMMONWEALTH EAR, NOSE AND THROAT SPECIALISTS, PC

Facility Address:
1 PARK WEST CIRCLE SUITE 200
MIDLOTHIAN, VA
ZIP 23114
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Facility Phone Number: 804 378-7443

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1720190390

Taxonomy: 207Y00000X - Otolaryngology
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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
CertificateType 4
CertificateEffectiveDate 10/12/2022
CertificateExpirationDate 10/11/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024