49D0229752 CLIA NUMBER - CHARLES F LOVELL JR MD

Laboratory Demographics

  • CLIA Code: 49D0229752
  • Facility Name: CHARLES F LOVELL JR MD
  • Facility Address: 1401 TIDEWATER DR SUITE 1
    NORFOLK, VA
    ZIP 23504
  • Facility Phone: 757 623-3038
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES F. LOVELL JR MD
  • NPI Number: 1174629448
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0229752
LAB Type Physician Office
Facility Name CHARLES F LOVELL JR MD
Street 1401 TIDEWATER DR SUITE 1
City NORFOLK
State VA
ZIP 23504
Phone 757 623-3038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director CHARLES F. LOVELL JR MD

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