49D1085785 CLIA NUMBER - WEST GYNECOLOGY AND MEDICAL SPA, PLC

Laboratory Demographics

CLIA Number: 49D1085785

Facility Name: WEST GYNECOLOGY AND MEDICAL SPA, PLC

Facility Address:
3738 WINTERFIELD ROAD - SUITE 100
MIDLOTHIAN, VA
ZIP 23113
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Facility Phone Number: 804 378-9378

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1861664120

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	49D1085785
LAB Type	Physician Office
Facility Name	WEST GYNECOLOGY AND MEDICAL SPA, PLC
Street	3738 WINTERFIELD ROAD - SUITE 100
City	MIDLOTHIAN
State	VA
ZIP	23113
Phone	804 378-9378
CertificateType	3
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	PPMP

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