49D2271019 CLIA NUMBER - PURPOSE MEDICAL OUTREACH

Laboratory Demographics

  • CLIA Code: 49D2271019
  • Facility Name: PURPOSE MEDICAL OUTREACH
  • Facility Address: 9660 TUNSTALL RD
    NEW KENT, VA
    ZIP 23124
  • Facility Phone: 804 557-0814
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CARA D. HOOVER
  • NPI Number: 1366228082
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2271019
LAB Type Community Clinic
Facility Name PURPOSE MEDICAL OUTREACH
Street 9660 TUNSTALL RD
City NEW KENT
State VA
ZIP 23124
Phone 804 557-0814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Community Clinic
Lab Director CARA D. HOOVER

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