49D2061427 CLIA NUMBER - MIDLOTHIAN FAMILY PRACTICE WESTCHESTER

Laboratory Demographics

  • CLIA Code: 49D2061427
  • Facility Name: MIDLOTHIAN FAMILY PRACTICE WESTCHESTER
  • Facility Address: 15769 WESTCHESTER MAIN STREET
    MIDLOTHIAN, VA
    ZIP 23113
  • Facility Phone: 804 836-1136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA K. AISENBERG
  • NPI Number: 1174981856
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2061427
LAB Type Physician Office
Facility Name MIDLOTHIAN FAMILY PRACTICE WESTCHESTER
Street 15769 WESTCHESTER MAIN STREET
City MIDLOTHIAN
State VA
ZIP 23113
Phone 804 836-1136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director LAURA K. AISENBERG

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