49D2197522 CLIA NUMBER - ACORN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D2197522
  • Facility Name: ACORN PEDIATRICS
  • Facility Address: 2610-B GASKINS RD
    RICHMOND, VA
    ZIP 23238
  • Facility Phone: 804 548-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT IWASHYNA
  • NPI Number: 1053921627
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2197522
LAB Type Physician Office
Facility Name ACORN PEDIATRICS
Street 2610-B GASKINS RD
City RICHMOND
State VA
ZIP 23238
Phone 804 548-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director SCOTT IWASHYNA

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