49D2316279 CLIA NUMBER - DIRECT WELLNESS RVA

Laboratory Demographics

  • CLIA Code: 49D2316279
  • Facility Name: DIRECT WELLNESS RVA
  • Facility Address: 2342 COLONY CROSSING PLACE, SUITE A
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 924-9400
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: GRACE A. BEERS
  • NPI Number: 1811712359
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2316279
LAB Type Mobile Laboratory
Facility Name DIRECT WELLNESS RVA
Street 2342 COLONY CROSSING PLACE, SUITE A
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 924-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Mobile Laboratory
Lab Director GRACE A. BEERS

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