49D0954587 CLIA NUMBER - NORFOLK PEDIATRICS CMG

Laboratory Demographics

  • CLIA Code: 49D0954587
  • Facility Name: NORFOLK PEDIATRICS CMG
  • Facility Address: 1529 INTERNATIONAL BOULEVARD - SUITE 103
    NORFOLK, VA
    ZIP 23513
  • Facility Phone: 757 855-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS K. MITCHELL
  • NPI Number: 1760413298
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D0954587
LAB Type Physician Office
Facility Name NORFOLK PEDIATRICS CMG
Street 1529 INTERNATIONAL BOULEVARD - SUITE 103
City NORFOLK
State VA
ZIP 23513
Phone 757 855-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director DOUGLAS K. MITCHELL

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