49D2292510 CLIA NUMBER - LIVE LIFE FULL LLC

Laboratory Demographics

  • CLIA Code: 49D2292510
  • Facility Name: LIVE LIFE FULL LLC
  • Facility Address: 101 COWARDIN AVENUE, SUITE 202
    RICHMOND, VA
    ZIP 23224
  • Facility Phone: 804 939-9904
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DANIELLE M. JANES
  • NPI Number: 1861913741
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2292510
LAB Type Independent
Facility Name LIVE LIFE FULL LLC
Street 101 COWARDIN AVENUE, SUITE 202
City RICHMOND
State VA
ZIP 23224
Phone 804 939-9904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Independent
Lab Director DANIELLE M. JANES

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