49D2135968 CLIA NUMBER - 1ST STICK MEDICAL DRAW STATION, LLC

Laboratory Demographics

  • CLIA Code: 49D2135968
  • Facility Name: 1ST STICK MEDICAL DRAW STATION, LLC
  • Facility Address: 1405 WESTOVER HILLS BLVD, SUITE 1A
    RICHMOND, VA
    ZIP 23225
  • Facility Phone: 804 549-9115
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: TELLY OWENS
  • NPI Number: 1043736911
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 49D2135968
LAB Type Independent
Facility Name 1ST STICK MEDICAL DRAW STATION, LLC
Street 1405 WESTOVER HILLS BLVD, SUITE 1A
City RICHMOND
State VA
ZIP 23225
Phone 804 549-9115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2023
Certificate Expiration Date 8/29/2025
Facility Type Independent
Lab Director TELLY OWENS

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