49D2248452 CLIA NUMBER - VIRGINIA GYNECOLOGIC ONCOLOGY LLC

Laboratory Demographics

  • CLIA Code: 49D2248452
  • Facility Name: VIRGINIA GYNECOLOGIC ONCOLOGY LLC
  • Facility Address: 4701 SPOTSYLVANIA PARKWAY, SUITE 203
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 804 200-7062
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TYLER C. FORD
  • NPI Number: 1760942759
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2248452
LAB Type Physician Office
Facility Name VIRGINIA GYNECOLOGIC ONCOLOGY LLC
Street 4701 SPOTSYLVANIA PARKWAY, SUITE 203
City FREDERICKSBURG
State VA
ZIP 22401
Phone 804 200-7062
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director TYLER C. FORD

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