49D2176321 CLIA NUMBER - LIFECARE FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 49D2176321
  • Facility Name: LIFECARE FAMILY MEDICAL
  • Facility Address: 2891 ANDERSON HIGHWAY
    POWHATAN, VA
    ZIP 23139
  • Facility Phone: 804 897-1259
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. DODD

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CLIA Record

Field Name Field Value
CLIA Number 49D2176321
LAB Type Physician Office
Facility Name LIFECARE FAMILY MEDICAL
Street 2891 ANDERSON HIGHWAY
City POWHATAN
State VA
ZIP 23139
Phone 804 897-1259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director JEFFREY D. DODD

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