49D0228333 CLIA NUMBER - TIDEWATER CHILDRENS ASSOCIATES LTD

Laboratory Demographics

  • CLIA Code: 49D0228333
  • Facility Name: TIDEWATER CHILDRENS ASSOCIATES LTD
  • Facility Address: 601 A INNOVATION DRIVE
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 668-2650
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. STEPHANIE WATSON
  • NPI Number: 1912455023
  • Taxonomy: 261QH0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D0228333
LAB Type Physician Office
Facility Name TIDEWATER CHILDRENS ASSOCIATES LTD
Street 601 A INNOVATION DRIVE
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 668-2650
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director MS. STEPHANIE WATSON

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