49D2262525 CLIA NUMBER - COLON AND RECTAL ENDOSCOPY AND SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 49D2262525
  • Facility Name: COLON AND RECTAL ENDOSCOPY AND SURGERY CENTER LLC
  • Facility Address: 7504 RIGHT FLANK ROAD
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 249-2465
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMY SAMSON
  • NPI Number: 1801554316
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2262525
LAB Type Ambulatory Surgery Center
Facility Name COLON AND RECTAL ENDOSCOPY AND SURGERY CENTER LLC
Street 7504 RIGHT FLANK ROAD
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 249-2465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Ambulatory Surgery Center
Lab Director AMY SAMSON

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This page was last updated on: 6/4/2025