49D2111091 CLIA NUMBER - PEDIATRIC & ADOLESCENT HEALTH PARTNERS

Laboratory Demographics

  • CLIA Code: 49D2111091
  • Facility Name: PEDIATRIC & ADOLESCENT HEALTH PARTNERS
  • Facility Address: 3864-B OLD BUCKINGHAM ROAD
    POWHATAN, VA
    ZIP 23139
  • Facility Phone: 804 794-2108
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EDWARD M. HENDERSON
  • NPI Number: 1841997822
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2111091
LAB Type Physician Office
Facility Name PEDIATRIC & ADOLESCENT HEALTH PARTNERS
Street 3864-B OLD BUCKINGHAM ROAD
City POWHATAN
State VA
ZIP 23139
Phone 804 794-2108
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director EDWARD M. HENDERSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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