49D1080932 CLIA NUMBER - PRIMARY HEALTH GROUP, INC DBA CHIPPENHAM FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D1080932
  • Facility Name: PRIMARY HEALTH GROUP, INC DBA CHIPPENHAM FAMILY MEDICINE
  • Facility Address: 500 HIOAKS ROAD, SUITE B
    RICHMOND, VA
    ZIP 23225
  • Facility Phone: 804 560-0490
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KAUSALYA PENDYAL
  • NPI Number: 1912176561
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1080932
LAB Type Mobile Laboratory
Facility Name PRIMARY HEALTH GROUP, INC DBA CHIPPENHAM FAMILY MEDICINE
Street 500 HIOAKS ROAD, SUITE B
City RICHMOND
State VA
ZIP 23225
Phone 804 560-0490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Mobile Laboratory
Lab Director KAUSALYA PENDYAL

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