49D2300064 CLIA NUMBER - PATRIOT DIAGNOSTICS LAB

Laboratory Demographics

  • CLIA Code: 49D2300064
  • Facility Name: PATRIOT DIAGNOSTICS LAB
  • Facility Address: 101 E NINE MILE ROAD
    HIGHLAND SPRINGS, VA
    ZIP 23075
  • Facility Phone: 804 659-5705
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SHANI T. DORSEY
  • NPI Number: 1841061314
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2300064
LAB Type Independent
Facility Name PATRIOT DIAGNOSTICS LAB
Street 101 E NINE MILE ROAD
City HIGHLAND SPRINGS
State VA
ZIP 23075
Phone 804 659-5705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Independent
Lab Director SHANI T. DORSEY

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