49D2136905 CLIA NUMBER - RIDGEWAY FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 49D2136905
  • Facility Name: RIDGEWAY FAMILY HEALTH
  • Facility Address: 4944 GREENSBORO ROAD
    RIDGEWAY, VA
    ZIP 24148
  • Facility Phone: 276 956-2233
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: EDNA E. EKUBAN-GORDON
  • NPI Number: 1073713137
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 49D2136905
LAB Type Federally Qualified Health Center
Facility Name RIDGEWAY FAMILY HEALTH
Street 4944 GREENSBORO ROAD
City RIDGEWAY
State VA
ZIP 24148
Phone 276 956-2233
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 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Federally Qualified Health Center
Lab Director EDNA E. EKUBAN-GORDON

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