49D2235300 CLIA NUMBER - ANNA JULIA COOPER SCHOOL

Laboratory Demographics

  • CLIA Code: 49D2235300
  • Facility Name: ANNA JULIA COOPER SCHOOL
  • Facility Address: 2124 NORTH 29TH STREET
    RICHMOND, VA
    ZIP 23223
  • Facility Phone: 804 822-6610
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MIKE MARUCA
  • NPI Number: 1548051873
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2235300
LAB Type School/Student Health Service
Facility Name ANNA JULIA COOPER SCHOOL
Street 2124 NORTH 29TH STREET
City RICHMOND
State VA
ZIP 23223
Phone 804 822-6610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type School/Student Health Service
Lab Director MIKE MARUCA

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