49D2129226 CLIA NUMBER - DPHS-HAMHDS-WOODMAN CENTER

Laboratory Demographics

  • CLIA Code: 49D2129226
  • Facility Name: DPHS-HAMHDS-WOODMAN CENTER
  • Facility Address: 10299 WOODMAN ROAD
    GLEN ALLEN, VA
    ZIP 23060
  • Facility Phone: 804 783-2505
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: PATRICIA T. COOK
  • NPI Number: 1912385642
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2129226
LAB Type Federally Qualified Health Center
Facility Name DPHS-HAMHDS-WOODMAN CENTER
Street 10299 WOODMAN ROAD
City GLEN ALLEN
State VA
ZIP 23060
Phone 804 783-2505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Federally Qualified Health Center
Lab Director PATRICIA T. COOK

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