49D1086918 CLIA NUMBER - DINWIDDIE HEALTH CARE, LLC DBA DINWIDDIE HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 49D1086918
  • Facility Name: DINWIDDIE HEALTH CARE, LLC DBA DINWIDDIE HEALTH AND REHABILITATION CENTER
  • Facility Address: 46 DIAMOND DRIVE
    PETERSBURG, VA
    ZIP 23803
  • Facility Phone: 804 518-0780
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH M. BYERS
  • NPI Number: 1497922843
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D1086918
LAB Type Assisted Living Facility
Facility Name DINWIDDIE HEALTH CARE, LLC DBA DINWIDDIE HEALTH AND REHABILITATION CENTER
Street 46 DIAMOND DRIVE
City PETERSBURG
State VA
ZIP 23803
Phone 804 518-0780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Assisted Living Facility
Lab Director KENNETH M. BYERS

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This page was last updated on: 6/4/2025