49D1082175 CLIA NUMBER - AESTHETIC CENTER,THE

Laboratory Demographics

  • CLIA Code: 49D1082175
  • Facility Name: AESTHETIC CENTER,THE
  • Facility Address: 329 PHILLIPS AVENUE
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 687-1900
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: THOMAS J. HUBBARD
  • NPI Number: 1285997478
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D1082175
LAB Type Other
Facility Name AESTHETIC CENTER,THE
Street 329 PHILLIPS AVENUE
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 687-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Other
Lab Director THOMAS J. HUBBARD

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