49D2149873 CLIA NUMBER - SOUTHSIDE EMERGENCY CARE CTR OF COLONIAL HGTS DBA BON SECOURS MERCY HEALTH PETERSBURG LLC

Laboratory Demographics

  • CLIA Code: 49D2149873
  • Facility Name: SOUTHSIDE EMERGENCY CARE CTR OF COLONIAL HGTS DBA BON SECOURS MERCY HEALTH PETERSBURG LLC
  • Facility Address: 60 EAST ROSLYN COURT
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: 804 765-5028
  • Facility Type: Other - FREE STANDING ED LAB
  • Facility Type: Accreditation
  • Lab Director: DR. MARK A. WILLIAMS
  • NPI Number: 1811146194
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2149873
LAB Type Other - FREE STANDING ED LAB
Facility Name SOUTHSIDE EMERGENCY CARE CTR OF COLONIAL HGTS DBA BON SECOURS MERCY HEALTH PETERSBURG LLC
Street 60 EAST ROSLYN COURT
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 804 765-5028
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Other - FREE STANDING ED LAB
Lab Director DR. MARK A. WILLIAMS

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