49D1102058 CLIA NUMBER - PERDUE FARMS PRINCE GEORGE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 49D1102058
  • Facility Name: PERDUE FARMS PRINCE GEORGE WELLNESS CENTER
  • Facility Address: 5155 CHUDOBA PARKWAY
    PRINCE GEORGE, VA
    ZIP 23875
  • Facility Phone: 804 722-1283
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY ARMSTEAD
  • NPI Number: 1245412717
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 49D1102058
LAB Type Physician Office
Facility Name PERDUE FARMS PRINCE GEORGE WELLNESS CENTER
Street 5155 CHUDOBA PARKWAY
City PRINCE GEORGE
State VA
ZIP 23875
Phone 804 722-1283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director AMY ARMSTEAD

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