49D2165519 CLIA NUMBER - URGENT CARE RICHMOND

Laboratory Demographics

  • CLIA Code: 49D2165519
  • Facility Name: URGENT CARE RICHMOND
  • Facility Address: 8905 FARGO ROAD
    RICHMOND, VA
    ZIP 23229
  • Facility Phone: 804 615-5060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANAL L. MOHARRAM
  • NPI Number: 1912463472
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2165519
LAB Type Physician Office
Facility Name URGENT CARE RICHMOND
Street 8905 FARGO ROAD
City RICHMOND
State VA
ZIP 23229
Phone 804 615-5060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director MANAL L. MOHARRAM

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