49D1063367 CLIA NUMBER - PRIMARY HEALTH GROUP RETREAT

Laboratory Demographics

  • CLIA Code: 49D1063367
  • Facility Name: PRIMARY HEALTH GROUP RETREAT
  • Facility Address: 110 N ROBINSON - SUITE 400
    RICHMOND, VA
    ZIP 23220
  • Facility Phone: 804 822-3480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA CHOI
  • NPI Number: 1942355367
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1063367
LAB Type Physician Office
Facility Name PRIMARY HEALTH GROUP RETREAT
Street 110 N ROBINSON - SUITE 400
City RICHMOND
State VA
ZIP 23220
Phone 804 822-3480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director REBECCA CHOI

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