49D2298096 CLIA NUMBER - ETHOS HOUSE CALLS

Laboratory Demographics

  • CLIA Code: 49D2298096
  • Facility Name: ETHOS HOUSE CALLS
  • Facility Address: 7337 OLD CAMP RD
    LANEXA, VA
    ZIP 23089
  • Facility Phone: 757 719-0621
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOAN E. BENTON
  • NPI Number: 1558049429
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2298096
LAB Type Practitioner Other
Facility Name ETHOS HOUSE CALLS
Street 7337 OLD CAMP RD
City LANEXA
State VA
ZIP 23089
Phone 757 719-0621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Practitioner Other
Lab Director JOAN E. BENTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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