49D2226701 CLIA NUMBER - RIVER CITY RESIDENTIAL SERVICES LLC

Laboratory Demographics

CLIA Code: 49D2226701
Facility Name: RIVER CITY RESIDENTIAL SERVICES LLC
Facility Address: 3014 PUTNEY ROAD
HENRICO, VA
ZIP 23228
Facility Phone: 804 230-0999
Facility Type: Other - ASAM L3.1 RESIDENTIAL
Facility Type: Waiver
Lab Director: JAMES G. CHRISTMAS III
NPI Number: 1508487901
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	49D2226701
LAB Type	Other - ASAM L3.1 RESIDENTIAL
Facility Name	RIVER CITY RESIDENTIAL SERVICES LLC
Street	3014 PUTNEY ROAD
City	HENRICO
State	VA
ZIP	23228
Phone	804 230-0999
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/3/2025
Certificate Expiration Date	6/2/2027
Facility Type	Other - ASAM L3.1 RESIDENTIAL
Lab Director	JAMES G. CHRISTMAS III

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