49D1066302 CLIA NUMBER - JOHNSON HEALTH OB AND PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 49D1066302
  • Facility Name: JOHNSON HEALTH OB AND PEDIATRIC CLINIC
  • Facility Address: 2402 ATHERHOLT ROAD
    LYNCHBURG, VA
    ZIP 24501
  • Facility Phone: 434 455-2480
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: BRIAN A. ASSENT
  • NPI Number: 1821212481
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1066302
LAB Type Federally Qualified Health Center
Facility Name JOHNSON HEALTH OB AND PEDIATRIC CLINIC
Street 2402 ATHERHOLT ROAD
City LYNCHBURG
State VA
ZIP 24501
Phone 434 455-2480
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Federally Qualified Health Center
Lab Director BRIAN A. ASSENT

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