49D2196766 CLIA NUMBER - RANDOLPH-MACON COLLEGE

Laboratory Demographics

  • CLIA Code: 49D2196766
  • Facility Name: RANDOLPH-MACON COLLEGE
  • Facility Address: 103 E PATRICK ST SPORTS MEDICINE DEPARTMENT
    ASHLAND, VA
    ZIP 23005
  • Facility Phone: 804 752-3215
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MICHAEL PITZER
  • NPI Number: 1376231381
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2196766
LAB Type School/Student Health Service
Facility Name RANDOLPH-MACON COLLEGE
Street 103 E PATRICK ST SPORTS MEDICINE DEPARTMENT
City ASHLAND
State VA
ZIP 23005
Phone 804 752-3215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type School/Student Health Service
Lab Director MICHAEL PITZER

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