49D1044499 CLIA NUMBER - KEYSVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D1044499
  • Facility Name: KEYSVILLE PEDIATRICS
  • Facility Address: 130 STREET - J
    KEYSVILLE, VA
    ZIP 23947
  • Facility Phone: 434 736-0544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANETTE ANN A MAMURIC
  • NPI Number: 1831754548
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 49D1044499
LAB Type Physician Office
Facility Name KEYSVILLE PEDIATRICS
Street 130 STREET - J
City KEYSVILLE
State VA
ZIP 23947
Phone 434 736-0544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director JANETTE ANN A MAMURIC

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