49D2316418 CLIA NUMBER - TRANSFORMATIVE WELLNESS VA LLC

Laboratory Demographics

  • CLIA Code: 49D2316418
  • Facility Name: TRANSFORMATIVE WELLNESS VA LLC
  • Facility Address: 300 GATEWAY CENTRE PKWY
    RICHMOND, VA
    ZIP 23235
  • Facility Phone: 804 915-9403
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JASON KIRBY
  • NPI Number: 1508674649
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2316418
LAB Type Comp. Outpatient Rehab Facility
Facility Name TRANSFORMATIVE WELLNESS VA LLC
Street 300 GATEWAY CENTRE PKWY
City RICHMOND
State VA
ZIP 23235
Phone 804 915-9403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JASON KIRBY

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