49D1050185 CLIA NUMBER - TIDEWATER CHILDREN'S ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D1050185
  • Facility Name: TIDEWATER CHILDREN'S ASSOCIATES
  • Facility Address: 5835 HARBOR VIEW BOULEVARD - SUITE B
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: (757) 668-6500
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. STEPHANIE WATSON
  • NPI Number: 1538214713
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1050185
LAB Type Physician Office
Facility Name TIDEWATER CHILDREN'S ASSOCIATES
Street 5835 HARBOR VIEW BOULEVARD - SUITE B
City SUFFOLK
State VA
ZIP 23435
Phone 7576686500
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director MS. STEPHANIE WATSON

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This page was last updated on: 5/18/2026