49D2027874 CLIA NUMBER - HMG PSYCHIATRIC ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 49D2027874
  • Facility Name: HMG PSYCHIATRIC ASSOCIATES, PC
  • Facility Address: 5918 HARBOUR PARK DR
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 353-0010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO H. GOMEZ
  • NPI Number: 1235354754
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 49D2027874
LAB Type Physician Office
Facility Name HMG PSYCHIATRIC ASSOCIATES, PC
Street 5918 HARBOUR PARK DR
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 353-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Physician Office
Lab Director MARIO H. GOMEZ

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