49D1077764 CLIA NUMBER - MID ATLANTIC FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D1077764
  • Facility Name: MID ATLANTIC FAMILY MEDICINE
  • Facility Address: 828 HEALTH WAY
    VIRGINIA BEACH, VA
    ZIP 23462
  • Facility Phone: 757 705-5265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER W. ASUNCION
  • NPI Number: 1629263199
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D1077764
LAB Type Physician Office
Facility Name MID ATLANTIC FAMILY MEDICINE
Street 828 HEALTH WAY
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 757 705-5265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director CHRISTOPHER W. ASUNCION

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This page was last updated on: 3/20/2025