49D2306735 CLIA NUMBER - UVA HEALTH MOBILE CARE CLINIC

Laboratory Demographics

  • CLIA Code: 49D2306735
  • Facility Name: UVA HEALTH MOBILE CARE CLINIC
  • Facility Address: 2925 IVY ROAD SIEG WAREHOUSE
    CHARLOTTESVILLE, VA
    ZIP 22903
  • Facility Phone: 434 297-7800
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: GREGORY STREETER
  • NPI Number: 1205475449
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2306735
LAB Type Mobile Laboratory
Facility Name UVA HEALTH MOBILE CARE CLINIC
Street 2925 IVY ROAD SIEG WAREHOUSE
City CHARLOTTESVILLE
State VA
ZIP 22903
Phone 434 297-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Mobile Laboratory
Lab Director GREGORY STREETER

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