49D0230799 CLIA NUMBER - ENDE MEDICAL PRACTICE LLP

Laboratory Demographics

  • CLIA Code: 49D0230799
  • Facility Name: ENDE MEDICAL PRACTICE LLP
  • Facility Address: 121 SOUTH MARKET STREET
    PETERSBURG, VA
    ZIP 23803
  • Facility Phone: 804 733-8771
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FREDERICK I. ENDE
  • NPI Number: 1710007430
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0230799
LAB Type Physician Office
Facility Name ENDE MEDICAL PRACTICE LLP
Street 121 SOUTH MARKET STREET
City PETERSBURG
State VA
ZIP 23803
Phone 804 733-8771
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director FREDERICK I. ENDE

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