49D2220309 CLIA NUMBER - ADVANCED IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 49D2220309
  • Facility Name: ADVANCED IMAGING CENTER
  • Facility Address: 1011 JOHNSTON-WILLIS DRIVE SUITE 150 ATTN KATHERINE RANALLO
    RICHMOND, VA
    ZIP 23235
  • Facility Phone: 804 483-5362
  • Facility Type: Other - IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: ERIC SCOTT
  • NPI Number: 1194779215
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2220309
LAB Type Other - IMAGING CENTER
Facility Name ADVANCED IMAGING CENTER
Street 1011 JOHNSTON-WILLIS DRIVE SUITE 150 ATTN KATHERINE RANALLO
City RICHMOND
State VA
ZIP 23235
Phone 804 483-5362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Other - IMAGING CENTER
Lab Director ERIC SCOTT

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