49D0983047 CLIA NUMBER - PHAIK MAE OBERMEYER MD PLLC

Laboratory Demographics

  • CLIA Code: 49D0983047
  • Facility Name: PHAIK MAE OBERMEYER MD PLLC
  • Facility Address: 840 FIRST COLONIAL ROAD - SUITE 101
    VIRGINIA BEACH, VA
    ZIP 23451
  • Facility Phone: 757 321-6142
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHAIK M. OBERMEYER
  • NPI Number: 1770169401
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0983047
LAB Type Physician Office
Facility Name PHAIK MAE OBERMEYER MD PLLC
Street 840 FIRST COLONIAL ROAD - SUITE 101
City VIRGINIA BEACH
State VA
ZIP 23451
Phone 757 321-6142
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 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director PHAIK M. OBERMEYER

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