49D2148065 CLIA NUMBER - WHOLE HEALTH PHYSICIANS, PC

Laboratory Demographics

  • CLIA Code: 49D2148065
  • Facility Name: WHOLE HEALTH PHYSICIANS, PC
  • Facility Address: 12866 PATTERSON AVE, SUITE 100
    RICHMOND, VA
    ZIP 23238
  • Facility Phone: 804 601-4901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN S. NEELY
  • NPI Number: 1639675507
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2148065
LAB Type Physician Office
Facility Name WHOLE HEALTH PHYSICIANS, PC
Street 12866 PATTERSON AVE, SUITE 100
City RICHMOND
State VA
ZIP 23238
Phone 804 601-4901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director BRIAN S. NEELY

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