49D0861662 CLIA NUMBER - CAPITAL DIGESTIVE CARE

Laboratory Demographics

  • CLIA Code: 49D0861662
  • Facility Name: CAPITAL DIGESTIVE CARE
  • Facility Address: 5839 HARBOUR VIEW BOULEVARD - SUITE 200
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: 757 483-6100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NORMAN R. GOLDIN
  • NPI Number: 1760541460
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0861662
LAB Type Physician Office
Facility Name CAPITAL DIGESTIVE CARE
Street 5839 HARBOUR VIEW BOULEVARD - SUITE 200
City SUFFOLK
State VA
ZIP 23435
Phone 757 483-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director NORMAN R. GOLDIN

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