49D2049749 CLIA NUMBER - CENTER FOR WELLNESS AND CHANGE, LLC

Laboratory Demographics

  • CLIA Code: 49D2049749
  • Facility Name: CENTER FOR WELLNESS AND CHANGE, LLC
  • Facility Address: 1007 EAST HIGH STREET
    CHARLOTTESVILLE, VA
    ZIP 22902
  • Facility Phone: 434 202-8612
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIK W. GUNDERSON
  • NPI Number: 1275885469
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 49D2049749
LAB Type Physician Office
Facility Name CENTER FOR WELLNESS AND CHANGE, LLC
Street 1007 EAST HIGH STREET
City CHARLOTTESVILLE
State VA
ZIP 22902
Phone 434 202-8612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director ERIK W. GUNDERSON

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