49D0674124 CLIA NUMBER - CHILDRENS CLINIC LTD

Laboratory Demographics

  • CLIA Code: 49D0674124
  • Facility Name: CHILDRENS CLINIC LTD
  • Facility Address: 23 MANHATTAN SQ
    HAMPTON, VA
    ZIP 23666
  • Facility Phone: 804 595-0358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS H. KOERNER
  • NPI Number: 1306941505
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0674124
LAB Type Physician Office
Facility Name CHILDRENS CLINIC LTD
Street 23 MANHATTAN SQ
City HAMPTON
State VA
ZIP 23666
Phone 804 595-0358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director THOMAS H. KOERNER

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