49D2342699 CLIA NUMBER - VITALCORE WELLNESS & DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 49D2342699
  • Facility Name: VITALCORE WELLNESS & DIAGNOSTICS LLC
  • Facility Address: 2821 PARHAM ROAD 104
    RICHMOND, VA
    ZIP 23294
  • Facility Phone: (804) 892-9630
  • Facility Type: Other - SPECIMEN COLLECTION SITE
  • Facility Type: Waiver
  • Lab Director: SIMONE D. KING
  • NPI Number: 1346178951
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 49D2342699
LAB Type Other - SPECIMEN COLLECTION SITE
Facility Name VITALCORE WELLNESS & DIAGNOSTICS LLC
Street 2821 PARHAM ROAD 104
City RICHMOND
State VA
ZIP 23294
Phone 8048929630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2026
Certificate Expiration Date 4/23/2028
Facility Type Other - SPECIMEN COLLECTION SITE
Lab Director SIMONE D. KING

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This page was last updated on: 5/18/2026