49D0896535 CLIA NUMBER - RENAISSANCE PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 49D0896535
  • Facility Name: RENAISSANCE PEDIATRICS, PC
  • Facility Address: 4012 RAINTREE ROAD SUITE 200A
    CHESAPEAKE, VA
    ZIP 23321
  • Facility Phone: 757 488-2223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID DORBAD
  • NPI Number: 1427061340
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0896535
LAB Type Physician Office
Facility Name RENAISSANCE PEDIATRICS, PC
Street 4012 RAINTREE ROAD SUITE 200A
City CHESAPEAKE
State VA
ZIP 23321
Phone 757 488-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director DAVID DORBAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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