49D2313352 CLIA NUMBER - CONSTELLATION HOSPICE VA

Laboratory Demographics

  • CLIA Code: 49D2313352
  • Facility Name: CONSTELLATION HOSPICE VA
  • Facility Address: 3957 WESTERRE PARKWAY, BLDG 11, SUITE 138
    RICHMOND, VA
    ZIP 23233
  • Facility Phone: 804 750-4214
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. BUXBAUM
  • NPI Number: 1821821315
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2313352
LAB Type Hospice
Facility Name CONSTELLATION HOSPICE VA
Street 3957 WESTERRE PARKWAY, BLDG 11, SUITE 138
City RICHMOND
State VA
ZIP 23233
Phone 804 750-4214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Hospice
Lab Director MICHAEL E. BUXBAUM

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