49D2044657 CLIA NUMBER - JENCARE NEIGHBORHOOD MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 49D2044657
  • Facility Name: JENCARE NEIGHBORHOOD MEDICAL CENTER
  • Facility Address: 6530 HULL STREET ROAD
    RICHMOND, VA
    ZIP 23224
  • Facility Phone: 305 653-1770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON L. CHEN
  • NPI Number: 1548520422
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 49D2044657
LAB Type Physician Office
Facility Name JENCARE NEIGHBORHOOD MEDICAL CENTER
Street 6530 HULL STREET ROAD
City RICHMOND
State VA
ZIP 23224
Phone 305 653-1770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director GORDON L. CHEN

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