49D2265910 CLIA NUMBER - EVOLUTION RECOVERY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 49D2265910
  • Facility Name: EVOLUTION RECOVERY SERVICES LLC
  • Facility Address: 4622 ROCHAMBEAU DR
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 705-3202
  • Facility Type: Other - RESIDENT TX FACILITY
  • Facility Type: Waiver
  • Lab Director: ALEX MCCLELLAND
  • NPI Number: 1063093748
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 49D2265910
LAB Type Other - RESIDENT TX FACILITY
Facility Name EVOLUTION RECOVERY SERVICES LLC
Street 4622 ROCHAMBEAU DR
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 705-3202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Other - RESIDENT TX FACILITY
Lab Director ALEX MCCLELLAND

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