49D2132917 CLIA NUMBER - XIAO H JIN, MD

Laboratory Demographics

  • CLIA Code: 49D2132917
  • Facility Name: XIAO H JIN, MD
  • Facility Address: 15 GOODRICH AVE
    PETERSBURG, VA
    ZIP 23805
  • Facility Phone: (804) 732-0618
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: XIAO H. JIN
  • NPI Number: 1679766752
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2132917
LAB Type Physician Office
Facility Name XIAO H JIN, MD
Street 15 GOODRICH AVE
City PETERSBURG
State VA
ZIP 23805
Phone 8047320618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director XIAO H. JIN

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This page was last updated on: 5/15/2026