49D2187127 CLIA NUMBER - GLADEVIEW MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 49D2187127
  • Facility Name: GLADEVIEW MEDICAL LLC
  • Facility Address: 279 GLADEVIEW DRIVE
    FRIES, VA
    ZIP 24330
  • Facility Phone: (276) 744-2224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER D. RICHARDSON
  • NPI Number: 1962022392
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2187127
LAB Type Physician Office
Facility Name GLADEVIEW MEDICAL LLC
Street 279 GLADEVIEW DRIVE
City FRIES
State VA
ZIP 24330
Phone 2767442224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director HEATHER D. RICHARDSON

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This page was last updated on: 5/18/2026