49D2198761 CLIA NUMBER - FOUNDATION MEDICAL, LLC

Home > CLIA Lookup > 49D2198761

Laboratory Demographics

CLIA Number: 49D2198761

Facility Name: FOUNDATION MEDICAL, LLC

Facility Address:
1807 HUGUENOT ROAD SUITE 117
MIDLOTHIAN, VA
ZIP 23113
Get Directions

Facility Phone Number: 804 506-0526

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003275124

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	49D2198761
LAB Type	Physician Office
Facility Name	FOUNDATION MEDICAL, LLC
Street	1807 HUGUENOT ROAD SUITE 117
City	MIDLOTHIAN
State	VA
ZIP	23113
Phone	804 506-0526
CertificateType	4
CertificateEffectiveDate	11/4/2022
CertificateExpirationDate	11/3/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024