49D2277613 CLIA NUMBER - HARMONY AT HOME PROVIDER SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 49D2277613
  • Facility Name: HARMONY AT HOME PROVIDER SERVICES, LLC
  • Facility Address: 1504 SANTA ROSA ROAD, #114
    HENRICO, VA
    ZIP 23229
  • Facility Phone: 804 210-3103
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HELEN L. TANNER
  • NPI Number: 1245985415
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2277613
LAB Type Physician Office
Facility Name HARMONY AT HOME PROVIDER SERVICES, LLC
Street 1504 SANTA ROSA ROAD, #114
City HENRICO
State VA
ZIP 23229
Phone 804 210-3103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director HELEN L. TANNER

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This page was last updated on: 3/20/2025