49D2329115 CLIA NUMBER - SOUTHPARK HEART AND RHYTHM CENTER

Laboratory Demographics

  • CLIA Code: 49D2329115
  • Facility Name: SOUTHPARK HEART AND RHYTHM CENTER
  • Facility Address: 445 CHARLES H DIMMOCK PKWY, SUITE 102
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: 804 481-9400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNY M. HARRELL
  • NPI Number: 1962046763
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2329115
LAB Type Ambulatory Surgery Center
Facility Name SOUTHPARK HEART AND RHYTHM CENTER
Street 445 CHARLES H DIMMOCK PKWY, SUITE 102
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 804 481-9400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Ambulatory Surgery Center
Lab Director JENNY M. HARRELL

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