49D2302869 CLIA NUMBER - JAMES RIVER MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 49D2302869
  • Facility Name: JAMES RIVER MEDICAL SERVICES
  • Facility Address: 111 HIGHLAND AVENUE
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: 804 691-6943
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LAKRISTA M. FANT
  • NPI Number: 1407157647
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2302869
LAB Type Mobile Laboratory
Facility Name JAMES RIVER MEDICAL SERVICES
Street 111 HIGHLAND AVENUE
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 804 691-6943
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Mobile Laboratory
Lab Director LAKRISTA M. FANT

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