49D2198761 CLIA NUMBER - FOUNDATION MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 49D2198761
  • Facility Name: FOUNDATION MEDICAL, LLC
  • Facility Address: 11600 BUSY STREET, SUITE 203
    RICHMOND, VA
    ZIP 23236
  • Facility Phone: 804 506-0526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY J. BUNTON
  • NPI Number: 1003275124
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2198761
LAB Type Physician Office
Facility Name FOUNDATION MEDICAL, LLC
Street 11600 BUSY STREET, SUITE 203
City RICHMOND
State VA
ZIP 23236
Phone 804 506-0526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director TIMOTHY J. BUNTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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