49D0866941 CLIA NUMBER - NANSEMOND SUFFOLK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 49D0866941
  • Facility Name: NANSEMOND SUFFOLK FAMILY PRACTICE
  • Facility Address: 2897 BRIDGE ROAD - SUITE D
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: 757 484-7248
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NIKKI L. GRAVES
  • NPI Number: 1518994805
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0866941
LAB Type Physician Office
Facility Name NANSEMOND SUFFOLK FAMILY PRACTICE
Street 2897 BRIDGE ROAD - SUITE D
City SUFFOLK
State VA
ZIP 23435
Phone 757 484-7248
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 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director NIKKI L. GRAVES

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