49D2327224 CLIA NUMBER - VIRGINIA GYNECOLOGIC ONCOLOGY LLC

Laboratory Demographics

  • CLIA Code: 49D2327224
  • Facility Name: VIRGINIA GYNECOLOGIC ONCOLOGY LLC
  • Facility Address: 9275 CHAMBERLAYNE ROAD, SUITE 120
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 200-7062
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CECELIA BOARDMAN
  • NPI Number: 1275865867
  • Taxonomy: 171WH0202X - Contractor

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CLIA Record

Field Name Field Value
CLIA Number 49D2327224
LAB Type Physician Office
Facility Name VIRGINIA GYNECOLOGIC ONCOLOGY LLC
Street 9275 CHAMBERLAYNE ROAD, SUITE 120
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 200-7062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director CECELIA BOARDMAN

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