49D2200471 CLIA NUMBER - BETH SHOLOM GARDENS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 49D2200471
  • Facility Name: BETH SHOLOM GARDENS ASSISTED LIVING
  • Facility Address: 2001 LAUDERDALE DRIVE
    RICHMOND, VA
    ZIP 23238
  • Facility Phone: 804 421-5142
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY COUGHLIN
  • NPI Number: 1760579932
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2200471
LAB Type Assisted Living Facility
Facility Name BETH SHOLOM GARDENS ASSISTED LIVING
Street 2001 LAUDERDALE DRIVE
City RICHMOND
State VA
ZIP 23238
Phone 804 421-5142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director TIFFANY COUGHLIN

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This page was last updated on: 3/20/2025