49D1104703 CLIA NUMBER - BON SECOURS MED GROUP HAMPTON ROADS PRIMARY CARE DBA FRANKLIN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D1104703
  • Facility Name: BON SECOURS MED GROUP HAMPTON ROADS PRIMARY CARE DBA FRANKLIN FAMILY MEDICINE
  • Facility Address: 1378 ARMORY DRIVE
    FRANKLIN, VA
    ZIP 23851
  • Facility Phone: 757 562-4111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA C. REISER
  • NPI Number: 1295370328
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 49D1104703
LAB Type Physician Office
Facility Name BON SECOURS MED GROUP HAMPTON ROADS PRIMARY CARE DBA FRANKLIN FAMILY MEDICINE
Street 1378 ARMORY DRIVE
City FRANKLIN
State VA
ZIP 23851
Phone 757 562-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2023
Certificate Expiration Date 9/8/2025
Facility Type Physician Office
Lab Director PAMELA C. REISER

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This page was last updated on: 3/20/2025