49D2322376 CLIA NUMBER - PALMETTO INFUSION SERVICES

Laboratory Demographics

  • CLIA Code: 49D2322376
  • Facility Name: PALMETTO INFUSION SERVICES
  • Facility Address: 14401 SOMMERVILLE CT STE B
    MIDLOTHIAN, VA
    ZIP 23113
  • Facility Phone: 800 809-1265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA S. DAVIS
  • NPI Number: 1922515568
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D2322376
LAB Type Physician Office
Facility Name PALMETTO INFUSION SERVICES
Street 14401 SOMMERVILLE CT STE B
City MIDLOTHIAN
State VA
ZIP 23113
Phone 800 809-1265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director ERICA S. DAVIS

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