49D2123574 CLIA NUMBER - JAMES RIVER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 49D2123574
  • Facility Name: JAMES RIVER DERMATOLOGY
  • Facility Address: 6372 MECHANICSVILLE TURNPIKE - SUITE 101
    MECHANICSVILLE, VA
    ZIP 23111
  • Facility Phone: 804 379-0116
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURA E. REGAN
  • NPI Number: 1023550654
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2123574
LAB Type Physician Office
Facility Name JAMES RIVER DERMATOLOGY
Street 6372 MECHANICSVILLE TURNPIKE - SUITE 101
City MECHANICSVILLE
State VA
ZIP 23111
Phone 804 379-0116
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director LAURA E. REGAN

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