49D2231586 CLIA NUMBER - SUPPORTIVE INTERVENTION SERVICES LLC

Laboratory Demographics

  • CLIA Code: 49D2231586
  • Facility Name: SUPPORTIVE INTERVENTION SERVICES LLC
  • Facility Address: 300 TURNER RD SUITE K
    NORTH CHESTERFIELD, VA
    ZIP 23225
  • Facility Phone: 804 625-1659
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LE KEISHA HITE
  • NPI Number: 1821436338
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2231586
LAB Type Practitioner Other
Facility Name SUPPORTIVE INTERVENTION SERVICES LLC
Street 300 TURNER RD SUITE K
City NORTH CHESTERFIELD
State VA
ZIP 23225
Phone 804 625-1659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Practitioner Other
Lab Director LE KEISHA HITE

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