49D1089127 CLIA NUMBER - BON SECOURS MEDICAL GROUP PATTERSON AVENUE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 49D1089127
  • Facility Name: BON SECOURS MEDICAL GROUP PATTERSON AVENUE FAMILY PRACTICE
  • Facility Address: 9600 PATTERSON AVENUE
    RICHMOND, VA
    ZIP 23229
  • Facility Phone: 804 741-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROON S. HYDER
  • NPI Number: 1427229939
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1089127
LAB Type Physician Office
Facility Name BON SECOURS MEDICAL GROUP PATTERSON AVENUE FAMILY PRACTICE
Street 9600 PATTERSON AVENUE
City RICHMOND
State VA
ZIP 23229
Phone 804 741-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director HAROON S. HYDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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