49D2201894 CLIA NUMBER - CHESTERFIELD COUNTY JAIL MEDICAL UNIT

Laboratory Demographics

  • CLIA Code: 49D2201894
  • Facility Name: CHESTERFIELD COUNTY JAIL MEDICAL UNIT
  • Facility Address: 6900 MIMMS DRIVE
    CHESTERFIELD, VA
    ZIP 23832
  • Facility Phone: 804 748-1275
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: G MANTOVANI GAY
  • NPI Number: 1609253897
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 49D2201894
LAB Type Other - JAIL
Facility Name CHESTERFIELD COUNTY JAIL MEDICAL UNIT
Street 6900 MIMMS DRIVE
City CHESTERFIELD
State VA
ZIP 23832
Phone 804 748-1275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Other - JAIL
Lab Director G MANTOVANI GAY

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