49D0230376 CLIA NUMBER - PEDIATRIC CENTER, PC

Laboratory Demographics

  • CLIA Code: 49D0230376
  • Facility Name: PEDIATRIC CENTER, PC
  • Facility Address: 901 ENTERPRISE PKWY - SUITE 200
    HAMPTON, VA
    ZIP 23666
  • Facility Phone: 757 826-5437
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK HOLMAN
  • NPI Number: 1114162476
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0230376
LAB Type Physician Office
Facility Name PEDIATRIC CENTER, PC
Street 901 ENTERPRISE PKWY - SUITE 200
City HAMPTON
State VA
ZIP 23666
Phone 757 826-5437
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director MARK HOLMAN

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