49D0992931 CLIA NUMBER - EASTERN VIRGINIA MEDICAL SCHOOL INFECTIOUS DISEASE - EVMS

Laboratory Demographics

  • CLIA Code: 49D0992931
  • Facility Name: EASTERN VIRGINIA MEDICAL SCHOOL INFECTIOUS DISEASE - EVMS
  • Facility Address: 825 FAIRFAX AVENUE - SUITE 400 PO BOX 2020
    NORFOLK, VA
    ZIP 23507
  • Facility Phone: 757 446-8920
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK G. HAGGERTY
  • NPI Number: 1801185434
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 49D0992931
LAB Type Physician Office
Facility Name EASTERN VIRGINIA MEDICAL SCHOOL INFECTIOUS DISEASE - EVMS
Street 825 FAIRFAX AVENUE - SUITE 400 PO BOX 2020
City NORFOLK
State VA
ZIP 23507
Phone 757 446-8920
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 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director PATRICK G. HAGGERTY

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