49D2276018 CLIA NUMBER - MEDICAL CARE LLC

Laboratory Demographics

CLIA Number: 49D2276018

Facility Name: MEDICAL CARE LLC

Facility Address:
261 WADSWORTH AVE
RICHMOND, VA
ZIP 23236
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Facility Phone Number: 804 822-2801

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1891702510

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	49D2276018
LAB Type	Mobile Laboratory
Facility Name	MEDICAL CARE LLC
Street	261 WADSWORTH AVE
City	RICHMOND
State	VA
ZIP	23236
Phone	804 822-2801
CertificateType	4
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024