49D2201904 CLIA NUMBER - RECORIAN WELLNESS SERVICES LLC

Laboratory Demographics

  • CLIA Code: 49D2201904
  • Facility Name: RECORIAN WELLNESS SERVICES LLC
  • Facility Address: 8324 BELL CREEK ROAD SUITE 100
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 522-5500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: YVETTE JOHNSON-THREAT
  • NPI Number: 1982209284
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2201904
LAB Type Practitioner Other
Facility Name RECORIAN WELLNESS SERVICES LLC
Street 8324 BELL CREEK ROAD SUITE 100
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 522-5500
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 Practitioner Other
Lab Director YVETTE JOHNSON-THREAT

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