49D0703960 CLIA NUMBER - BAYSIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D0703960
  • Facility Name: BAYSIDE PEDIATRICS
  • Facility Address: 4501 N WITCHDUCK RD, SUITE A
    VIRGINIA BEACH, VA
    ZIP 23455
  • Facility Phone: 757 460-5521
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAILEELA VENKATESAN
  • NPI Number: 1225174154
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0703960
LAB Type Physician Office
Facility Name BAYSIDE PEDIATRICS
Street 4501 N WITCHDUCK RD, SUITE A
City VIRGINIA BEACH
State VA
ZIP 23455
Phone 757 460-5521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director SAILEELA VENKATESAN

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