49D2004381 CLIA NUMBER - GLEN ALLEN MEDI LLC DBA MEDI WEIGHT LOSS CLINIC

Laboratory Demographics

  • CLIA Code: 49D2004381
  • Facility Name: GLEN ALLEN MEDI LLC DBA MEDI WEIGHT LOSS CLINIC
  • Facility Address: 11551 NUCKOLS ROAD - SUITE C
    GLEN ALLEN, VA
    ZIP 23059
  • Facility Phone: (804) 888-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN CIURASH
  • NPI Number: 1407232770
  • Taxonomy: 207QB0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2004381
LAB Type Physician Office
Facility Name GLEN ALLEN MEDI LLC DBA MEDI WEIGHT LOSS CLINIC
Street 11551 NUCKOLS ROAD - SUITE C
City GLEN ALLEN
State VA
ZIP 23059
Phone 8048886800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2026
Certificate Expiration Date 3/2/2028
Facility Type Physician Office
Lab Director JOHN CIURASH

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This page was last updated on: 5/18/2026