49D2043752 CLIA NUMBER - OLD DOMINION PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 49D2043752
  • Facility Name: OLD DOMINION PEDIATRICS, PLLC
  • Facility Address: 9323 MIDLOTHIAN TURNPIKE - SUITE E
    RICHMOND, VA
    ZIP 23235
  • Facility Phone: 804 212-1144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC B. FREEMAN
  • NPI Number: 1710233788
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2043752
LAB Type Physician Office
Facility Name OLD DOMINION PEDIATRICS, PLLC
Street 9323 MIDLOTHIAN TURNPIKE - SUITE E
City RICHMOND
State VA
ZIP 23235
Phone 804 212-1144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director ERIC B. FREEMAN

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