49D2069493 CLIA NUMBER - BON SECOURS GLEN ALLEN URGENT CARE

Laboratory Demographics

  • CLIA Code: 49D2069493
  • Facility Name: BON SECOURS GLEN ALLEN URGENT CARE
  • Facility Address: 9851 BROOK ROAD
    GLEN ALLEN, VA
    ZIP 23059
  • Facility Phone: 804 893-8541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THANH NGUYEN
  • NPI Number: 1346662343
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2069493
LAB Type Physician Office
Facility Name BON SECOURS GLEN ALLEN URGENT CARE
Street 9851 BROOK ROAD
City GLEN ALLEN
State VA
ZIP 23059
Phone 804 893-8541
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 THANH NGUYEN

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