49D2321805 CLIA NUMBER - ASCENT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D2321805
  • Facility Name: ASCENT PRIMARY CARE
  • Facility Address: 406 ALBERMALE SQUARE
    CHARLOTTESVILLE, VA
    ZIP 22901
  • Facility Phone: 434 422-1919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK D. NIEHAUS
  • NPI Number: 1538998281
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2321805
LAB Type Physician Office
Facility Name ASCENT PRIMARY CARE
Street 406 ALBERMALE SQUARE
City CHARLOTTESVILLE
State VA
ZIP 22901
Phone 434 422-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director MARK D. NIEHAUS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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