49D2308601 CLIA NUMBER - ZOESTYLE MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2308601
  • Facility Name: ZOESTYLE MEDICINE
  • Facility Address: 4191 INNSLAKE DR, SUITE 212
    GLEN ALLEN, VA
    ZIP 23060
  • Facility Phone: 804 303-9622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLOTTE N. HEPPNER
  • NPI Number: 1518680966
  • Taxonomy: 2083B0002X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2308601
LAB Type Physician Office
Facility Name ZOESTYLE MEDICINE
Street 4191 INNSLAKE DR, SUITE 212
City GLEN ALLEN
State VA
ZIP 23060
Phone 804 303-9622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director CHARLOTTE N. HEPPNER

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