49D0665314 CLIA NUMBER - PATIENT FIRST-GENERAL BOOTH-VIRGINIA REGION

Laboratory Demographics

  • CLIA Code: 49D0665314
  • Facility Name: PATIENT FIRST-GENERAL BOOTH-VIRGINIA REGION
  • Facility Address: 1605 GENERAL BOOTH BLVD
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 721-0512
  • Facility Type: Other
  • Facility Type: Certificate of Compliance
  • Lab Director: MAULIN DESAI
  • NPI Number: 1841348851
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 49D0665314
LAB Type Other
Facility Name PATIENT FIRST-GENERAL BOOTH-VIRGINIA REGION
Street 1605 GENERAL BOOTH BLVD
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 721-0512
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 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Other
Lab Director MAULIN DESAI

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