49D1101646 CLIA NUMBER - HEART CARE ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 49D1101646
  • Facility Name: HEART CARE ASSOCIATES, PC
  • Facility Address: 5303 PLAZA DRIVE - SUITE 102
    HOPEWELL, VA
    ZIP 23860
  • Facility Phone: 804 541-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAKULA K. DAVE
  • NPI Number: 1255340766
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1101646
LAB Type Physician Office
Facility Name HEART CARE ASSOCIATES, PC
Street 5303 PLAZA DRIVE - SUITE 102
City HOPEWELL
State VA
ZIP 23860
Phone 804 541-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2023
Certificate Expiration Date 8/24/2025
Facility Type Physician Office
Lab Director BAKULA K. DAVE

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