49D0974747 CLIA NUMBER - MICHAEL L TUCKER MD

Laboratory Demographics

  • CLIA Code: 49D0974747
  • Facility Name: MICHAEL L TUCKER MD
  • Facility Address: 1401 TIDEWATER DR, STE 5
    NORFOLK, VA
    ZIP 23504
  • Facility Phone: 757 625-3777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. TUCKER MD
  • NPI Number: 1447263009
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0974747
LAB Type Physician Office
Facility Name MICHAEL L TUCKER MD
Street 1401 TIDEWATER DR, STE 5
City NORFOLK
State VA
ZIP 23504
Phone 757 625-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director MICHAEL L. TUCKER MD

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