CLIA Code Details

Clinical Laboratory Code : 49D2315402

MAGNOLIA GROVE DIRECT PRIMARY CARE (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 49D2315402
Clinical laboratory number
Lab Name MAGNOLIA GROVE DIRECT PRIMARY CARE
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 804-709-3792
Laboratory telephone number
Fax 804-825-9492
Fax number of the provider.

Facility Location

Street Address 13911 ST FRANCIS BLVD, STE 102
Primary location adress line
City MIDLOTHIAN
Primary location city name
State VA
Primary location state name
Zip 23114
Primary location postal code

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