49D2312677 CLIA NUMBER - IGATA AND PARKE PLC

Laboratory Demographics

  • CLIA Code: 49D2312677
  • Facility Name: IGATA AND PARKE PLC
  • Facility Address: 14805 FOREST RD, SUITE 229
    FOREST, VA
    ZIP 24551
  • Facility Phone: 434 207-2337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVEN M. PARKE
  • NPI Number: 1619730835
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2312677
LAB Type Physician Office
Facility Name IGATA AND PARKE PLC
Street 14805 FOREST RD, SUITE 229
City FOREST
State VA
ZIP 24551
Phone 434 207-2337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director RAVEN M. PARKE

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