49D2199958 CLIA NUMBER - PHILLIP C ZAUN DDS

Laboratory Demographics

  • CLIA Code: 49D2199958
  • Facility Name: PHILLIP C ZAUN DDS
  • Facility Address: 9245 SHADY GROVE ROAD
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 730-6775
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PHILLIP C. ZAUN
  • NPI Number: 1902955297
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D2199958
LAB Type Practitioner Other
Facility Name PHILLIP C ZAUN DDS
Street 9245 SHADY GROVE ROAD
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 730-6775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Practitioner Other
Lab Director PHILLIP C. ZAUN

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